Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114231362 Individual Practitioner Female Practitioner

Kerry Lynn Petersen , APRN

Nurse Practitioner • Omaha, NE

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kerry Petersen, APRN is a registered healthcare professional specializing in Nurse Practitioner in Omaha, NE. Official NPI practice address is registered at 987440 NEBRASKA MEDICAL CTR.

Practice Location & Contact Primary Location

Practice Address

987440 Nebraska Medical Ctr
Neonatal Intensive Care Unit

Omaha, NE 681987740

Telephone 4025594442
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
556 Specialists

Practicing in Omaha, NE (993 Statewide)

Telehealth Adoption Rate
9.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NE 11154

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jennifer Mather

Nurse Practitioner - Neonatal, Critical Care

NPI 1023937224
Amber Van Dyke , APRN

Nurse Practitioner - Neonatal

NPI 1053624767

Advanced Practice Registered Nurse

Laura Dugick , APRN

Nurse Practitioner - Neonatal

NPI 1467579573

Advanced Practice Registered Nurse

Tanna Anderson , APRN-NP

Nurse Practitioner - Neonatal

NPI 1629208608

APRNNP

Nadia Kinney , APRN

Nurse Practitioner - Neonatal

NPI 1659501542

Advanced Practice Registered Nurse

Gloria Kisicki , APRN

Nurse Practitioner - Neonatal

NPI 1790941763

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Nurse Practitioner (License #11154 in NE)

NPI Profile Active July 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2010

Registered at 987440 NEBRASKA MEDICAL CTR, NEONATAL INTENSIVE CARE UNIT, OMAHA, NE 681987740 (Tel: 4025594442)

📍
Updated Business Mailing Address July 29, 2010

Registered at 1520 N 185TH ST, ELKHORN, NE 680223834 (Tel: 4025784965)

👤
Provider Name / Credentials Updated July 29, 2010

Recorded as KERRY PETERSEN, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2010

Clinical Nurse Specialist (License #111154 in NE)

🟢
Initial NPI Registration & Enumeration July 29, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114231362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2010
Last Update: May 31, 2024
Sole Proprietor: No

Mailing Address

1520 N 185th St

Elkhorn, NE 680223834

Phone: 4025784965

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.