Individual provider Active NPI

Katievia Rush-Wilks, APRN

  • Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1871225086
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
114244 Issued in NE
Practice address
1001 S 70TH St Ste 100
Lincoln, NE 68510-7901
Phone
(402) 441-4760
Fax
(402) 441-4764
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 114244 NE Primary

Addresses

Primary practice location

1001 S 70TH St Ste 100
Lincoln, NE 68510-7901

Mailing address

1001 S 70TH St Ste 100
Lincoln, NE 68510-7901
Phone (402) 441-4760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katieviarushwilks@sapc.allscriptsdirect.net Direct

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
I20220715000243 NE Practitioner - Nurse Practitioner 0840671384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Urgent Care LPGroup PAC ID 9133250053, 2 clinicians

Practice addresses (Care Compare)

965 S 27TH St
Suite D
Lincoln, NE 68510-3140
Phone (402) 477-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114244NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush and Wilks Homes LLC Current Accepting new patients
T&K Aesthetics LLC Nurse Practitioner Current Accepting new patients
Heartland Urgent Care LP CurrentSince Oct 1, 2022 Accepting new patients
Katecares Telemedicine LLC Current Accepting new patients

Locations

965 S 27th St
Ste D
Lincoln, NE 68510
Phone (402) 477-3505

Interoperability endpoints

  • Direct secure messaging: katieviarush-wilks@sapc.allscriptsdirect.net

Organizations & group practices 5

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1871225086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 70TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107901",
            "telephone_number": "402-441-4760",
            "fax_number": "402-441-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 70TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107901",
            "telephone_number": "402-441-4760",
            "fax_number": "402-441-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH-WILKS",
        "first_name": "KATIEVIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "114244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katieviarushwilks@sapc.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 S 70th St Ste 100",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685107901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.