Active NPI
Regina L Wagner
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1932075918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 116146
- Practice address
- 3300 N 60TH St BLDG C
Omaha, NE 68104-3402 - Phone
- (402) 552-7010
- Fax
- (402) 934-8804
- NPI assigned
- Oct 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 116146 | NE | Primary |
Addresses
Primary practice location
3300 N 60TH St BLDG C
Omaha, NE 68104-3402
Mailing address
3300 N 60TH St BLDG C
Omaha, NE 68104-3402
Phone (402) 552-7010
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3300 N 60TH St
BLDG C
Omaha, NE 68104-3402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116146 | NE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Family Service | Current | Accepting new patients | |
| Heartland Family Service | Current | Accepting new patients | |
| Heartland Family Service | Current | Accepting new patients |
Locations
3300 N 60th St
Bldg C
Omaha, NE 68104
Phone (402) 552-7459
2101 S 42nd St
Omaha, NE 68105
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Omaha, NE
- NPI 1891788048
-
- Mental Health Counselor
- Omaha, NE
- NPI 1649648932
-
- Multi-Specialty Clinic/Center
- Council Bluffs, IA
- NPI 1447742036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1932075918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 N 60TH ST BLDG C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043402",
"telephone_number": "402-552-7010",
"fax_number": "402-934-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N 60TH ST BLDG C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043402",
"telephone_number": "402-552-7010",
"fax_number": "402-934-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "REGINA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-15",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "116146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.