Individual provider Active NPI

Mark Alan Darby I, MSN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1851812309
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112235 Issued in NE
Practice address
985330 Nebraska Medical Ctr
Omaha, NE 68198-2702
Phone
(402) 559-7925
NPI assigned
Jul 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 38769 NE
Family Nurse Practitioner 363LF0000X 112235 NE Primary

Addresses

Primary practice location

985330 Nebraska Medical Ctr
Omaha, NE 68198-2702

Mailing address

985330 Nebraska Medical Ctr
Omaha, NE 68198-5330

Other practice location 1

5620 Ames Ave
Omaha, NE 68104-2702
Phone (402) 933-0737

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
I20170822000778 NE Practitioner - Nurse Practitioner 1557633849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Urban Indian Health Coalition, Inc.Group PAC ID 9436183902, 6 clinicians
Charles Drew Health Center IncGroup PAC ID 9830170653, 13 clinicians

Practice addresses (Care Compare)

2231 Fairfield St
Suite 1
Lincoln, NE 68521-1348
Phone (402) 434-7177

2915 Grant St
Omaha, NE 68111-3863
Phone (402) 457-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
38769NEMDRegistered Nurse
112235NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew Health Center, Inc CurrentSince Dec 11, 2017 Accepting new patients
Charles Drew Health Center, Inc. CurrentSince Dec 11, 2017 Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients

Locations

2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553

5920 Maple St
Omaha, NE 68104
Phone (402) 457-1200

3775 Curtis Ave
Omaha, NE 68111
Phone (402) 457-6630

Interoperability endpoints

  • Direct secure messaging: mark.darby.p1@direct.charlesdrew.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851812309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985330 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985330 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681982702",
            "telephone_number": "402-559-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5620 Ames Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681042702",
            "country_code": "US",
            "telephone_number": "402-933-0737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARBY",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_suffix": "I",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "38769",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.