Individual provider Active NPI

Tina M Vest, MSN, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1962487173
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110505 Issued in NE
Practice address
2935 Pine Lake Rd
Suite F
Lincoln, NE 68516-6009
Phone
(402) 817-0897
Fax
(402) 817-0901
NPI assigned
Dec 9, 2005
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 110505 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 110505 NE Primary

Addresses

Primary practice location

2935 Pine Lake Rd
Suite F
Lincoln, NE 68516-6009

Mailing address

2935 Pine Lake Rd
Suite F
Lincoln, NE 68516-6009
Phone (402) 817-0897

Other identifiers 1

IdentifierTypeStateIssuer
10025323700MedicaidNE

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
I20040317000568 NE Practitioner - Nurse Practitioner 1456241165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4001 S 8TH St
Suite 101
Lincoln, NE 68502-5352
Phone (402) 817-0897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110505NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vest Psychiatric Services, LLC CurrentSince Mar 23, 2009 Accepting new patients
Blue Valley Behavioral Health Inc PastSince Jul 6, 2011 Accepting new patients
Bryan Physician Network Past Accepting new patients

Locations

2935 Pine Lake Rd
Ste F
Lincoln, NE 68516
Phone (402) 261-4017

3600 Village Dr
Ste 110
Lincoln, NE 68516

4001 S 8th St
Ste 101
Lincoln, NE 68502
Phone (402) 817-0897

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, 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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1962487173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 PINE LAKE RD",
            "address_2": "SUITE F",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166009",
            "telephone_number": "402-817-0897",
            "fax_number": "402-817-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 PINE LAKE RD",
            "address_2": "SUITE F",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166009",
            "telephone_number": "402-817-0897",
            "fax_number": "402-817-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEST",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "110505",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025323700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.