Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Fabry, APRN-NP

Individual provider Nurse Practitioner · NPI 1306527148

Grant Fabry, APRN-NP is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2023, 3 years ago. Practices with Physicians Clinic Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
3
Licensed in
NE
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1111 N 102nd Ct Ste 200
Omaha, NE 68114-2194
Phone: (402) 502-2747
Fax: (402) 502-2387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 114889 (NE)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 114889 (NE)

Record details

NPI number1306527148
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-NP
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physicians Clinic Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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