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

Nicole Detweiler

Individual provider Family Nurse Practitioner · NPI 1386482834

Nicole Detweiler is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2024, 2 years ago. Practices with Atlas Medical Nebraska LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
2
Licensed in
NE
In the registry since
2024

Practice location Address checks out

4101 Woolworth Ave
Omaha, NE 68105-1850
Phone: (800) 451-5796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 115498 (NE)

Record details

NPI number1386482834
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address4101 Woolworth Ave, Omaha, NE 68105-1850

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Atlas Medical Nebraska Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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