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

Mary Elizabeth Larson-Brenden, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1093056483

Mary Elizabeth Larson-Brenden, FNP-BC is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2012, 14 years ago. Practices with Physicians Clinic Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
14
Licensed in
IA, NE
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

14104 S St
Omaha, NE 68137-2636
Phone: (402) 614-7385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 111473 (NE)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A089499 (IA)

Record details

NPI number1093056483
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 8, 2013
Last updated in NPPESMay 6, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Physicians Clinic Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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