Individual provider Active NPI

Melanie Karis Householder, FNP

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1851572317
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110750 Issued in NE
Practice address
201 Capitol Beach Blvd Ste 1a
Lincoln, NE 68528-1645
Phone
(402) 435-0228
Fax
(402) 435-0229
NPI assigned
Nov 26, 2007
Last updated
May 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110750 NE Primary

Addresses

Primary practice location

201 Capitol Beach Blvd Ste 1a
Lincoln, NE 68528-1645

Mailing address

201 Capitol Beach Blvd Ste 1a
Lincoln, NE 68528-1645
Phone (402) 435-0228

Other identifiers 7

IdentifierTypeStateIssuer
10025817200MedicaidNE
253467OtherNEMIDLANDS CHOICE
N/AOtherNECOVENTRY
39363OtherNEBCBS
10025531400MedicaidNE
10025651900MedicaidNE
P00686227OtherNERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000029 NE Practitioner - Nurse Practitioner 8921177585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Baylor College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Express Clinic, LLCGroup PAC ID 7911003017, 3 clinicians

Practice addresses (Care Compare)

3740 N 27TH St
Suite 1
Lincoln, NE 68521-4162
Phone (402) 423-0396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110750NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Express Clinic LLC CurrentSince Dec 14, 2007 Accepting new patients
The Express Clinic, LLC Family Current Accepting new patients
The Express Clinic, LLC Past Accepting new patients

Locations

201 Capitol Beach Blvd
Ste 1A
Lincoln, NE 68528
Phone (402) 435-0228

3740 N 27th St
Ste 1
Lincoln, NE 68521
Phone (402) 423-0396

Interoperability endpoints

  • Direct secure messaging: mhouseholder@expressclinic.ssdirect.aprima.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1851572317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CAPITOL BEACH BLVD STE 1A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685281645",
            "telephone_number": "402-435-0228",
            "fax_number": "402-435-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CAPITOL BEACH BLVD STE 1A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685281645",
            "telephone_number": "402-435-0228",
            "fax_number": "402-435-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEHOLDER",
        "first_name": "MELANIE",
        "middle_name": "KARIS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025817200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "253467",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "N/A",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39363",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025531400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025651900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00686227",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.