Element Primary Care, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ELEMENT PRIMARY CARE, LLC

Practice address

10020 Nicholas St Ste 106
Omaha, NE 68114-2188

Phone

(402) 999-9999

NPI assigned

Mar 18, 2020

Organization subpart

No

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

Authorized official

Name

Wendy Pecoraro, APRNNPI 1154430080

Title

Nurse Practitioner

Phone

(402) 305-5058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy L Pecoraro, APRN

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1154430080
  Medicare reassignment Care Compare group NPD Authorized official
• Ann Brook Rogers, ARNP

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1891204871
  Medicare reassignment Care Compare group NPD
• April C Thomas, APRN

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1760814578
  Medicare reassignment Care Compare group NPD
• Ann Marie Wieseler, APRN

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1295176436
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1972139228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 PEBBLEBROOKE BLVD",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 NICHOLAS ST STE 106",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142188",
            "telephone_number": "402-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "PECORARO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "402-305-5058",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Ann Eldridge
• Kalvin Elem
• Keyondai Elem
• Keyonis Chardai Elem
• Tanisha Elem
• Elevate Chiropractic LLC
• Elevate Physical Therapy LLC
• Elevate Recovery and Medspa
• Mayat Elezai
• Jaimie Elffner, PLMHP

• Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.