MARY KATHRYN ELLWANGER APRN-NP, CPNP-PC
NPI 1205567203
Nurse Practitioner - Pediatrics in Omaha, NE

Active since June 21, 2022

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Kathryn Ellwanger Aprn-np, Cpnp-pc NPPES

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

MARY KATHRYN ELLWANGER APRN-NP, CPNP-PC (NPI 1205567203) is an individual pediatrics provider in Omaha, Nebraska, licensed in Nebraska (114233) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1205567203
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY KATHRYN ELLWANGERCredential: APRN-NP, CPNP-PC
Location Address11949 Q STOmaha, NE 68137-3503
Mailing Address14461 Grand AveOmaha, NE 68116-6623 · (402) 881-6441
Sole ProprietorNo
Enumeration DateJune 21, 2022
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
NPI 1205567203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NE · 114233
11949 Q ST, Omaha, NE 68137

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
11949 Q ST
OMAHA, NE 68137
Counselor (Mental Health)
11949 Q ST
OMAHA, NE 68137
Counselor (Mental Health)
11949 Q ST
OMAHA, NE 68137
Nurse Practitioner (Pediatrics)
11949 Q ST
OMAHA, NE 68137
Counselor (Mental Health)
11949 Q ST
OMAHA, NE 68137
Nurse Practitioner (Family)
11949 Q ST
OMAHA, NE 68137
Nurse Practitioner
11949 Q ST
OMAHA, NE 68137
Nurse Practitioner (Pediatrics)
11949 Q ST
OMAHA, NE 68137

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 Mary Ellwanger's NPI number?

The NPI number for Mary Ellwanger is 1205567203. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Mary Ellwanger located?

Mary Ellwanger practices at 11949 Q St, Omaha, NE 68137. The listed phone number is (531) 867-3088.

What is Mary Ellwanger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Mary Ellwanger accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Mary Ellwanger 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 Mary Ellwanger was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.