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: November 08, 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

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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diversified Mobile Pt Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 13 clinicians reassign Medicare billing to Diversified Mobile Pt LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Physical Therapist in Private Practice5

Occupational Therapist in Private Practice4

Nurse Practitioner2

Qualified Speech Language Pathologist2

Clinicians, nearest first (13)

Nicole Dickmeyer, PT, DPT

Physical Therapist in Private Practice

NPI 1821390378

5114 N 137TH ST
Omaha, NE 68164

(402) 819-7956

✔ Accepts MedicareSame address

Melissa Capron, PT, DPT

Physical Therapist in Private Practice

NPI 1245074665

5114 N 137TH ST
Omaha, NE 68164

(402) 819-7956

✔ Accepts MedicareSame address

Sarah Prusmack, OTR/L, CLT

Occupational Therapist in Private Practice

NPI 1316212863

5007 N 105TH ST
Omaha, NE 68134

(402) 201-7954

2.6 mi

Elizabeth Gac, DPT

Physical Therapist in Private Practice

NPI 1063886968

4110 S 144TH ST
Omaha, NE 68137

(402) 861-6683

6.0 mi

Tara Demoret, OTR/L

Occupational Therapist in Private Practice

NPI 1982324950

4330 S 144TH ST
Omaha, NE 68137

(402) 614-4000

✔ Accepts Medicare6.1 mi

Erin Dean, PT, DPT

Physical Therapist in Private Practice

NPI 1306460712

18716 W ST
Omaha, NE 68135

(904) 403-5583

✔ Accepts Medicare7.6 mi

Carolyn Bevins

Nurse Practitioner

NPI 1720443245

9707 Q ST
Omaha, NE 68127

(800) 253-4368

✔ PECOS✔ Accepts Medicare7.8 mi

Kayla Kivett, SLP CF

Qualified Speech Language Pathologist

NPI 1922559046

2546 RIVER ROAD DR BLDG C
Waterloo, NE 68069

(531) 444-8945

✔ Accepts Medicare8.2 mi

Abigail Ashby, M.A. CCC-SLP

Qualified Speech Language Pathologist

NPI 1760683916

5505 GROVER ST
Omaha, NE 68106

(402) 558-0225

✔ Accepts Medicare8.7 mi

Caitlin Carlson, NP

Nurse Practitioner

NPI 1023686508

701 PINNACLE DR STE 105
Papillion, NE 68046

(402) 505-7989

✔ PECOS✔ Accepts Medicare11 mi

Heather Herchenbach, OTR/L

Occupational Therapist in Private Practice

NPI 1467731653

300 W MEIGS ST
Valley, NE 68064

(402) 359-2355

✔ Accepts Medicare12 mi

Megan Wheeler, DPT

Physical Therapist in Private Practice

NPI 1568259513

4900 S ARROWHEAD DR STE B
Independence, MO 64055

(816) 478-4200

✔ Accepts Medicare183 mi

Amanda Carmicheal, OT

Occupational Therapist in Private Practice

NPI 1760553804

101 E STATE ST
Kennett Square, PA 19348

(402) 201-2208

1,076 mi

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

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.

Is Diversified Mobile Pt LLC enrolled in Medicare?

Yes. Diversified Mobile Pt LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diversified Mobile Pt LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Diversified Mobile Pt LLC. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (5), Occupational Therapist in Private Practice (4) and Nurse Practitioner (2). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 5 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.