TAMARA LYN BRALEY RN, AGPCNP-BC
NPI 1063811511
Nurse Practitioner - Adult Health in Omaha, NE

Active since August 21, 2014PECOS EnrolledAccepts Medicare Assignment
4968 S 188TH AVE, OMAHA, NE 68135(402) 669-8320 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tamara Lyn Braley Rn, Agpcnp-bc NPPES

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

TAMARA LYN BRALEY RN, AGPCNP-BC (NPI 1063811511) is an individual adult health provider in Omaha, Nebraska, licensed in Nebraska (111705) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063811511
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTAMARA LYN BRALEYCredential: RN, AGPCNP-BC
Location Address4968 S 188TH AVEOmaha, NE 68135-3520
Mailing Address4968 S 188th AveOmaha, NE 68135-3520 · (402) 669-8320
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 21, 2014
✔ NPI 1063811511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NE · 111705
4968 S 188TH AVE, Omaha, NE 68135

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tamara Lyn Braley Rn, Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002036860
PECOS Enrollment IDI20140930002105
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tamara Braley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
218 W 18TH ST
Kearney, NE 68845
  • Reassigned Medicare billing, Nebraska enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tamara Braley's NPI number?

The NPI number for Tamara Braley is 1063811511. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Tamara Braley located?

Tamara Braley practices at 4968 S 188th Ave, Omaha, NE 68135. The listed phone number is (402) 669-8320.

What is Tamara Braley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tamara Braley enrolled in Medicare?

Yes. Tamara Braley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tamara Braley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Braley reassigns Medicare benefits to Waterfield Health, LLC (Kearney, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamara Braley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tamara Braley was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.