Enyonam Abalekpor
Individual provider Active NPI Family Nurse Practitioner · Omaha, NE
NPI 1972227288 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1972227288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 114441 (NE)
- Practice address
- 101 S 42ND St
Omaha, NE 68131-2715 - Phone
- (402) 552-3100
- NPI assigned
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
1288 Valley View LN
Council Bluffs, IA 51503-5456
Phone (712) 328-8800
3308 Samson Way
Bellevue, NE 68123-3194
Phone (402) 827-1577
Hospital & facility affiliations
- CHI Health Bergan Mercy
- CHI Health Lakeside
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221222001104 | IA | Practitioner - Nurse Practitioner | 4183094774 | Reassigns benefits to 1 organization |
| I20221222001201 | NE | Practitioner - Nurse Practitioner | 4183094774 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114441 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Current |
Accepting new patients | |
| Alegent Creighton Clinic | Current |
Accepting new patients |
Locations
3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
2771 Solution Ctr
Chicago, IL 60677
3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373
3308 Samson Way
Ste 101
Bellevue, NE 68123
Phone (402) 291-3373
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 114441 | NE | Yes |
Addresses
Primary practice location
101 S 42ND St
Omaha, NE 68131-2715
Mailing address
101 S 42ND St
Omaha, NE 68131-2715
Phone (402) 552-3100
Other providers in Omaha, NE
- Aa Omaha Emergecny Dental Care USA Inc
- Aaa Newlife Clinic
- Aahmom, LLC
- Sonya Aaron
- Zenab Yaya Abakar
- Kossivi Djifa Abalo
- Linda J Abalos
- Jose Santos Abarca Rivera
- Gladys Yajaira Abarca Sotelo
- Peter A. Abasolo
All providers in Omaha, NE · Family Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.