Individual provider Active NPI

Riena Martin, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1902587215
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114853 Issued in NE
Practice address
4350 Dewey Ave
Omaha, NE 68105-1017
Phone
(402) 552-3932
NPI assigned
Jul 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 114853 NE Primary

Addresses

Primary practice location

4350 Dewey Ave
Omaha, NE 68105-1017

Mailing address

4350 Dewey Ave
Omaha, NE 68105-1017
Phone (402) 552-3932

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
I20231026001055 NE Practitioner - Nurse Practitioner 8224484357 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
Global Open Wound Care Services LLCGroup PAC ID 3375999386, 7 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

Gretna, NE 68028
Phone (402) 448-1490

987400 Nebraska Medical Ctr
Unmc Physicians Nebraska Medical Center
Omaha, NE 68198-7400
Phone (402) 559-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114853NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Open Wound Care Services LLC Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Unmc Physicians Single Specialty CurrentSince Sep 21, 2023 Accepting new patients
Global Open Wound Care PLLC Single Specialty PastSince Apr 21, 2024 Accepting new patients

Locations

11820 Standing Stone Dr
Gretna, NE 68028
Phone (402) 332-3903

4350 Dewey Ave
Omaha, NE 68105
Phone (402) 552-2552

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405

250 Miron Dr
Ste 120
Southlake, TX 76092

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

521 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 328-3000

Interoperability endpoints

  • Direct secure messaging: rmartin453176@direct.nebraskamed.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1902587215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 DEWEY AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051017",
            "telephone_number": "402-552-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 DEWEY AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051017",
            "telephone_number": "402-552-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RIENA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-11-09",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.