DIVERSIFIED MOBILE PT LLC
NPI 1164289880
Nurse Practitioner in Omaha, NE

Q: What is Diversified Mobile Pt LLC's NPI number?

The NPI number for Diversified Mobile Pt LLC is 1164289880. It was assigned to this organization in the NPPES registry on February 29, 2024.

Q: What is Diversified Mobile Pt LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 29, 2024

5114 N 137TH ST, OMAHA, NE 68164(402) 819-7956(531) 201-6077 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2026, Apr 28, 2026, Feb 24, 2025 and 1 more (4 updates tracked since 2024).

On this page

About Diversified Mobile Pt Llc NPPES

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

DIVERSIFIED MOBILE PT LLC (NPI 1164289880) is a healthcare organization registered as a nurse practitioner in Omaha, Nebraska and active in the NPI registry since February 2024. The organization lists Nicole Kristine Dickmeyer, Owner, as its authorized official.

NPPES Registry Identity

NPI1164289880

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameDIVERSIFIED MOBILE PT LLC

Location Address5114 N 137TH STOmaha, NE 68164-6191

Mailing Address5114 N 137th StOmaha, NE 68164-6191 · (402) 819-7956 · Fax (531) 201-6077

Phone(402) 819-7956

Fax(531) 201-6077

Organization SubpartNo

Authorized OfficialNicole Kristine DickmeyerOwner · (402) 317-9120

Enumeration DateFebruary 29, 2024

Last NPPES UpdateMay 15, 20264 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1164289880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapy AssistantTaxonomy 225200000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

5114 N 137TH ST, Omaha, NE 68164

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.Insurance ›

Other Providers at the Same Location NPPES 2

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

MELISSA CAPRON PT, DPT

Physical Therapist

5114 N 137TH ST
OMAHA, NE 68164

Douglas County (402) 819-7956

NICOLE KRISTINE DICKMEYER PT, DPT

Physical Therapist

5114 N 137TH ST
OMAHA, NE 68164

Douglas County (402) 819-7956

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 Diversified Mobile Pt LLC's NPI number?

The NPI number for Diversified Mobile Pt LLC is 1164289880. It was assigned to this organization in the NPPES registry on February 29, 2024.

Where is Diversified Mobile Pt LLC located?

Diversified Mobile Pt LLC is located at 5114 N 137th St, Omaha, NE 68164. The listed phone number is (402) 819-7956.

What is Diversified Mobile Pt LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Diversified Mobile Pt LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Diversified Mobile Pt LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diversified Mobile Pt LLC was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.