Kerry L Takeda, APRN in La Vista, NE - Medicare Nurse Practitioner

Kerry L Takeda, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in La Vista, Nebraska. Her current practice location is 8074 S 84th St, La Vista, Nebraska. You can reach out to her office (for appointments etc.) via phone at (402) 779-7207.

Kerry L Takeda is licensed to practice in Nebraska (license number 114804) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811681497.

Contact Information

	Kerry L Takeda, APRN
	8074 S 84th St, La Vista, NE 68128-3303
	(402) 779-7207
	(402) 779-7210

Map and Direction

Provider's Profile

Full Name	Kerry L Takeda
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	8074 S 84th St, La Vista, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811681497
Provider Enumeration Date: 06/06/2023
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8921468430
Enrollment ID: I20230715000551

Medical Identifiers

Medical identifiers for Kerry L Takeda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811681497	NPI	-	NPPES
10028073900	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	114804 (Nebraska)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kerry L Takeda allows following entities to bill medicare on her behalf.

Entity Name	Douglas County Nebraska
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023019718 PECOS PAC ID: 3375440936 Enrollment ID: O20031212000853

Entity Name	Lifecare Family Medicine Of Bellevue Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841598448 PECOS PAC ID: 5193901965 Enrollment ID: O20110511000558

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerry L Takeda is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kerry L Takeda, APRN 8074 S 84th St, La Vista, NE 68128-3303 Ph: (402) 779-7207	Kerry L Takeda, APRN 8074 S 84th St, La Vista, NE 68128-3303 Ph: (402) 779-7207

Reviews and Comments

Nurse Practitioner Nurses in La Vista, NE

Roni L Pinkerton, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12702 Westport Pkwy, Suite 101, La Vista, NE 68138 Phone: 402-502-5525 Fax: 402-343-1330
Jackie L Kuchta, DNP FNP-C BC-ADM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 866-389-2727
Margaret Messersmith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090
Mrs. Jill Marie Brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090
Abbie L Ketcham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8248 S 96th St, La Vista, NE 68128 Phone: 402-717-9500
Dr. Kathryn Anderson, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090 Fax: 402-339-1020
Rachel Stutheit, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6901 S 84th St, La Vista, NE 68128 Phone: 402-339-1090

Kerry L Takeda, APRN - Medicare Nurse Practitioner in La Vista, NE