Active NPI
Robyn Anne Rafter, MSN, APRN, FPNP-BC
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1992365001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 112688
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112688 | Other | NE | NA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Roots Wellness LLC | Family | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.