Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Petrisor Tudor, PMHNP-BC, APRN, MSN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1194447367

Petrisor Tudor, PMHNP-BC, APRN, MSN is a Nurse Practitioner in Omaha, Nebraska. Qualified in 2022, 4 years ago. Practices with Restore Rebuild Reconnect Counseling Center, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
4
Licensed in
NE
In the registry since
2022
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

11404 W Dodge Rd Ste 300
Omaha, NE 68154-2511
Phone: (402) 898-1113
Fax: (402) 819-5588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 114357 (NE)

Record details

NPI number1194447367
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC , APRN , MSN
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Restore Rebuild Reconnect Counseling Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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