Active NPI
Marcia K Merboth, APRN
- Gerontology Nurse Practitioner
- Omaha, NE
National Provider Identifier
1962635227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- IN PROCESS
- Practice address
- 8710 Frederick St
Suite 100
Omaha, NE 68124 - Phone
- (402) 926-2680
- Fax
- (402) 926-2347
- NPI assigned
- Sep 2, 2009
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | IN PROCESS | NE | Primary |
Addresses
Primary practice location
8710 Frederick St
Suite 100
Omaha, NE 68124
Mailing address
5715 S 34TH St
Suite 100
Lincoln, NE 68516-6648
Phone (402) 926-2680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100251379-00 | Medicaid | NE | |
| 01942 GROUP | Other | BLUE SHIELD OF NEBRASKA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN PROCESS | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice Preferred Choice, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba AseraCare Hospice
- Community Based Hospice Care Agency
- Lincoln, NE
- NPI 1538101852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1962635227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 S 34TH ST",
"address_2": "SUITE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166648",
"telephone_number": "402-926-2680",
"fax_number": "402-926-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8710 FREDERICK ST",
"address_2": "SUITE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "402-926-2680",
"fax_number": "402-926-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERBOTH",
"first_name": "MARCIA",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NE",
"license": "IN PROCESS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251379-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NEBRASKA",
"identifier": "01942 GROUP",
"state": null
}
],
"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 Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.