KELLI L. PIRRUCCELLO (NPI# 1073996021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073996021 |
| Entity Type | Individual |
| Full Name | KELLI L. PIRRUCCELLO |
| Other Name | KELLI L. CRAIN |
| Credential | RN |
| Practice Address |
707 N 190th Plz Elkhorn NE 68022-3974 |
| Mailing Address |
Po Box 2797 Omaha NE 68103-2797 |
| Practice Telephone | 4028156428 |
| Practice Fax Number | 4028151565 |
| Mailing Telephone | 4023544230 |
| Mailing Fax Number | 4023546171 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 71216 | NE | Nursing Service Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
111868 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 100258661-00 | 05 | |
| IA | 1073996021 | 05 |
| Street Address |
707 N 190TH PLZ |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-3974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934492 | Neonatal Care, PC | Pediatrics | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2005-07-05 |
| 1134726805 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2020-10-06 |
| 1265087415 | Anna K Holcomb | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022 | 2019-08-05 |
| 1447652920 | Lynsie E. Jones | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2014-09-16 |
| 1790037232 | Kaitlyn Trowbridge | Physician Assistant | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2012-10-08 |
| 1598078297 | Monica N. Jackson | Registered Nurse | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2010-07-22 |
| 1811200512 | Julia Ann Krska | Registered Nurse | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2010-07-22 |
| 1336470558 | Nebraska Methodist Hospital | General Acute Care Hospital | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2010-01-28 |
| 1699908871 | Kami D Cappello | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2009-09-03 |
| 1811100126 | Debra L Kellberg | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| Find all providers in zip 68022 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447652920 | Lynsie E. Jones | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2014-09-16 |
| 1699908871 | Kami D Cappello | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2009-09-03 |
| 1811100126 | Debra L Kellberg | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2007-05-07 |
| 1285854695 | Margaret J Peterson | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2007-04-26 |
| 1518187095 | Katherine A Mettling | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2007-04-26 |
| 1831319235 | Kim M Murcek | Nurse Practitioner | 707 N 190th Plz, Elkhorn, NE 68022-3974 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336692714 | Carly Leann Maack-chee | Nurse Practitioner | 621 S 45th St, Lincoln, NE 68510-3702 | 2016-08-02 |
| 1033341276 | Kristina L Wallingford | Nurse Practitioner | 7941 N 152nd St, Bennington, NE 68007-1584 | 2009-08-21 |
| 1801016316 | Tilda M Wambsganss | Nurse Practitioner | Children's Hospital - Nicu, 8200 Dodge Street, Omaha, NE 68114-4113 | 2007-04-26 |
| 1619908274 | Susan E Knutson | Nurse Practitioner | 987740 Nebraska Medical Ctr, Omaha, NE 68198-7740 | 2006-07-05 |
| 1174183644 | Brittany M Wacker | Nurse Practitioner | 1600 S 48th St, Lincoln, NE 68506-1283 | 2019-06-17 |
| 1841710142 | Sarah E Skinner | Nurse Practitioner | 1600 S 48th St, Lincoln, NE 68506 | 2017-06-27 |
| 1780042218 | Nicole Behring | Nurse Practitioner | 1600 S 48th St, Lincoln, NE 68506-1283 | 2016-01-28 |
| 1154706463 | Chelsey Leiting | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2015-07-28 |
| 1659754034 | Elizabeth Nicole Bronson | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2015-07-03 |
| 1760865323 | Emily Liu Burdett | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2015-07-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.