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DOMINIC LIAM GLIKO APRN
NPI 1275418675
Nurse Practitioner - Psychiatric/Mental Health in Omaha, NE

Active since August 06, 2025PECOS EnrolledAccepts Medicare Assignment
4920 S 30TH ST STE 103, OMAHA, NE 68107(402) 734-4110(402) 734-3990 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominic Liam Gliko Aprn NPPES

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

DOMINIC LIAM GLIKO APRN (NPI 1275418675) is an individual psychiatric/mental health provider in Omaha, Nebraska, licensed in Nebraska (116205) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275418675
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDOMINIC LIAM GLIKOCredential: APRN
Location Address4920 S 30TH ST STE 103Omaha, NE 68107-1656
Mailing Address4920 S 30th St Ste 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 734-3990
Phone(402) 734-4110
Fax(402) 734-3990
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1275418675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NE · 116205
4920 S 30TH ST STE 103, Omaha, NE 68107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominic Liam Gliko Aprn 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 ID9335644467
PECOS Enrollment IDI20250927000315
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68107 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.

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.

ANGELA SALAZAR APRN
Nurse Practitioner (Family)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
JAMILA FACHON STOVALL CNM
Advanced Practice Midwife
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
MOLLIE STEHL LIMHP
Counselor (Mental Health)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
KATHYA CARVAJAL
Counselor (Mental Health)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
DANIEL ARANDA-FREGOSO PA-C
Physician Assistant (Medical)
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
WILLIAM RANDOLPH JONES PA-C
Physician Assistant
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
ALEXANDER DMITRY BANKETOV DDS
Dentist
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
CECILIA MIYARES
Dentist
4920 S 30TH ST STE 103
OMAHA, NE 68107
Douglas County (402) 502-8846

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 Dominic Gliko's NPI number?

The NPI number for Dominic Gliko is 1275418675. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Dominic Gliko located?

Dominic Gliko practices at 4920 S 30th St Ste 103, Omaha, NE 68107. The listed phone number is (402) 734-4110.

What is Dominic Gliko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dominic Gliko enrolled in Medicare?

Yes. Dominic Gliko 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.

What insurance does Dominic Gliko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Dominic Gliko 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 Dominic Gliko was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.