1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Nurse Practitioner
  6. NPI Profile

TRANSFORMATIVE HEALTHCARE
NPI 1043865165
Nurse Practitioner - Family in Omaha, NE

Active since August 06, 2019CLIA 28D2167127 · Waiver
11810 NICHOLAS ST, OMAHA, NE 68154(402) 307-5510(402) 204-1081 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Transformative Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMATIVE HEALTHCARE (NPI 1043865165) is a healthcare organization registered as a family in Omaha, Nebraska and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Cassie Krause, Nurse Practitioner / Owner, as its authorized official.

NPPES Registry Identity

NPI1043865165
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRANSFORMATIVE HEALTHCARE
Location Address11810 NICHOLAS STOmaha, NE 68154-4449
Mailing Address11810 Nicholas StOmaha, NE 68154-4449 · (402) 307-5510 · Fax (402) 204-1081
Phone(402) 307-5510
Fax(402) 204-1081
Organization SubpartNo
Authorized OfficialCassie KrauseNurse Practitioner / Owner · (402) 307-5510
Enumeration DateAugust 6, 2019
✔ NPI 1043865165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
11810 NICHOLAS ST, Omaha, NE 68154
Open in Google Maps ↗

Other Names 1

Former Legal Business NameTransformative Healthcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2167127

Transformative Healthcare · Omaha, NE
Active · expires Jun 2, 2027
CLIA Number28D2167127
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorCassie Krause
Laboratory Phone(402) 307-5510
Laboratory LocationTransformative Healthcare11810 Nicholas Street Suite 102, Omaha, NE 68154
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVIS HEALTH PC
Internal Medicine
11810 NICHOLAS ST
OMAHA, NE 68154
Douglas County (402) 983-9181
CASSIE L KRAUSE APRN
Nurse Practitioner (Primary Care)
11810 NICHOLAS ST, SUITE 101
OMAHA, NE 68154
Douglas County (402) 307-5510
MR. DONALD PAUL SCARBOROUGH PA-C
Physician Assistant
11810 NICHOLAS ST
OMAHA, NE 68154
Douglas County (402) 401-4404
MICHELLE DIANNE KENTFIELD PA-C
Physician Assistant (Medical)
11810 NICHOLAS ST
OMAHA, NE 68154
Douglas County (402) 779-8400
LAURA ELIZABETH PERRYMAN APRN, FNP-C
Nurse Practitioner (Family)
11810 NICHOLAS ST
OMAHA, NE 68154
Douglas County (402) 983-9181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Transformative Healthcare's NPI number?

The NPI number for Transformative Healthcare is 1043865165. It was assigned to this organization in the NPPES registry on August 6, 2019.

Where is Transformative Healthcare located?

Transformative Healthcare is located at 11810 Nicholas St, Omaha, NE 68154. The listed phone number is (402) 307-5510.

What is Transformative Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Transformative Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2167127) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Transformative Healthcare was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.