Individual provider Active NPI

Paula Michelle Dawson, APRN

  • Primary Care Nurse Practitioner
  • La Vista, NE
National Provider Identifier
1881310449
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
115122 Issued in NE
Practice address
8074 S 84TH St
La Vista, NE 68128-3303
Phone
(402) 779-7207
Fax
(402) 779-7210
NPI assigned
Oct 17, 2022
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 255804 GA
Primary Care Nurse Practitioner 363LP2300X 115122 NE Primary

Addresses

Primary practice location

8074 S 84TH St
La Vista, NE 68128-3303

Mailing address

8074 S 84TH St
La Vista, NE 68128-3303
Phone (402) 779-7207

Other practice location 1

5539 S 27th St Ste 104
Lincoln, NE 68512-1600
Phone (402) 450-2317

Other identifiers 1

IdentifierTypeStateIssuer
10028707400MedicaidNE

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
I20240322000764 NE Practitioner - Nurse Practitioner 7012354335 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
Douglas County NebraskaGroup PAC ID 3375440936, 12 clinicians
Lifecare Family Medicine of Bellevue PCGroup PAC ID 5193901965, 5 clinicians

Practice addresses (Care Compare)

4102 Woolworth Ave
Omaha, NE 68102-1899
Phone (402) 444-7000

8074 S 84TH St
La Vista, NE 68128-3303
Phone (402) 779-7207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255804GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Nebraska Current Accepting new patients
Douglas County Nebraska CurrentSince Feb 17, 2025 Accepting new patients
Douglas County Nebraska CurrentSince Feb 17, 2025 Accepting new patients
Lifecare Family Medicine of Bellevue, P.C. CurrentSince Jan 1, 2025 Accepting new patients
Pedxm, PC Past Accepting new patients
Primary Pediatrics, PC PastSince Apr 13, 2025 Accepting new patients
The Mind Body Soul Collective LLC Past Accepting new patients
Middle Georgia Medical Associates, P.C. Past Accepting new patients

Locations

8074 S 84th St
Lavista, NE 68128
Phone (402) 331-3373

4102 Woolworth Ave
Omaha, NE 68105
Phone (402) 444-7000

Interoperability endpoints

  • Direct secure messaging: paula.dawson.1@17404.direct.athenahealth.com

Organizations & group practices 8

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1881310449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8074 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283303",
            "telephone_number": "402-779-7207",
            "fax_number": "402-779-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 S 84TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283303",
            "telephone_number": "402-779-7207",
            "fax_number": "402-779-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5539 S 27th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685121600",
            "country_code": "US",
            "telephone_number": "402-450-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "PAULA",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "255804",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "115122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028707400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

Verify at the official NPI Registry.