Individual provider Active NPI

Mitchell Barrett, APRN

  • Nurse Practitioner
  • La Vista, NE
National Provider Identifier
1952553869
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110993 Issued in NE
Practice address
8074 S 84TH St
La Vista, NE 68128-3303
Phone
(402) 991-9500
Fax
(402) 991-9564
NPI assigned
Oct 22, 2008
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 110993 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) 991-9500

Other identifiers 2

IdentifierTypeStateIssuer
10026518600MedicaidNE
110993OtherNELICENSE

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
I20090618000444 NE Practitioner - Nurse Practitioner 4981754652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncare Palliative LLCGroup PAC ID 3173962966, 4 clinicians

Practice addresses (Care Compare)

16934 Frances St
Suite 106
Omaha, NE 68130-2397
Phone (402) 403-4330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110993NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncare Palliative LLC CurrentSince Mar 15, 2025 Accepting new patients
Oncare Hospice LLC PastSince Mar 15, 2025 Accepting new patients
Midwest Cardiology , P.C. PastSince Oct 1, 2000 Accepting new patients

Locations

16934 Frances St
Ste 106
Omaha, NE 68130
Phone (402) 403-4330

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10185/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mitchell.barrett.1@30563.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1952553869",
    "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": "402-991-9500",
            "fax_number": "402-991-9564"
        },
        {
            "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": "402-991-9500",
            "fax_number": "402-991-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "MITCHELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026518600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "110993",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

Verify at the official NPI Registry.