Individual provider Active NPI

Robyn Anne Rafter, MSN, APRN, FPNP-BC

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1992365001
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112688 Issued in NE
Practice address
5160 N 175TH Cir
Omaha, NE 68116-3196
Phone
(402) 517-7996
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 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 112688 NE Primary

Addresses

Primary practice location

5160 N 175TH Cir
Omaha, NE 68116-3196

Mailing address

5160 N 175TH Cir
Omaha, NE 68116-3196
Phone (402) 517-7996

Other identifiers 1

IdentifierTypeStateIssuer
112688OtherNENA

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
I20190723002103 NE Practitioner - Nurse Practitioner 4587990973 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Roots Wellness LLC Family CurrentSince Aug 1, 2025 Accepting new patients

Locations

14450 Eagle Run Dr
Ste 270
Omaha, NE 68116
Phone (402) 396-2935

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.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1992365001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 N 175TH CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163196",
            "telephone_number": "402-517-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 N 175TH CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163196",
            "telephone_number": "402-517-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTER",
        "first_name": "ROBYN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FPNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "112688",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.