Individual provider Active NPI

Felisha Hautzinger, NP-C

  • Family Nurse Practitioner
  • Bellevue, NE
National Provider Identifier
1962061853
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112812 Issued in NE
Practice address
1307 Harlan Dr
Bellevue, NE 68005-3699
Phone
(402) 291-8701
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112812 NE Primary

Addresses

Primary practice location

1307 Harlan Dr
Bellevue, NE 68005-3699

Mailing address

2821 S 108TH St
Omaha, NE 68144-4802
Phone (402) 933-8201

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
I20190730002680 NE Practitioner - Nurse Practitioner 2062748916 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4G Enterprises LLCGroup PAC ID 4789810508, 20 clinicians

Practice addresses (Care Compare)

2717 S 108TH St
Suite 200 Rockbrook Urgent Care
Omaha, NE 68144-4811
Phone (402) 933-8201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112812NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hydr8, LLC CurrentSince Jan 1, 2023 Accepting new patients
Urgent Care Bennington, LLC CurrentSince Jun 29, 2025 Accepting new patients
Bellevue Urgent Care LP Current Accepting new patients
Urgent Care Group LLC PastSince Jun 29, 2025 Accepting new patients

Locations

1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701

8001 N 157th St
Ste 102
Bennington, NE 68007
Phone (531) 999-8744

18210 Wright St
Omaha, NE 68130
Phone (531) 999-1813

Organizations & group practices 7

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1962061853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444802",
            "telephone_number": "402-933-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 HARLAN DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053699",
            "telephone_number": "402-291-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUTZINGER",
        "first_name": "FELISHA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.