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MEDJINE DESGRAVES PLMHP
NPI 1285250332
Counselor - Mental Health in Omaha, NE

Active since June 24, 2020PECOS EnrolledAccepts Medicare Assignment
5217 S 28TH ST, OMAHA, NE 68107(402) 715-5449(402) 715-5452 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2022, Jun 24, 2020 (2 updates tracked since 2020).

About Medjine Desgraves Plmhp NPPES

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

MEDJINE DESGRAVES PLMHP (NPI 1285250332) is an individual mental health provider in Omaha, Nebraska, licensed in Nebraska (3061) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285250332
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMEDJINE DESGRAVESCredential: PLMHP
Location Address5217 S 28TH STOmaha, NE 68107-3402
Mailing Address5217 S 28th StOmaha, NE 68107-3402 · (402) 715-5449 · Fax (402) 715-5452
Phone(402) 715-5449
Fax(402) 715-5452
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 24, 2020
Last NPPES UpdateMay 31, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1285250332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 3061
Also ListedCounselorTaxonomy 101Y00000X · License 12187 (NE)
5217 S 28TH ST, Omaha, NE 68107
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Secondary Practice Location 1

Location 11941 S 42nd St Ste 328Omaha, NE 68105-2943 · Phone (402) 614-8444

Accepted Insurance

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

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

Medjine Desgraves Plmhp 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 ID2163905787
PECOS Enrollment IDI20260312000516
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 Medjine Desgraves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

True Vine Counseling LLC
11 mi
Mental Health
15606 ELM ST STE 100
Omaha, NE 68130
  • Reassigned Medicare billing, Nebraska enrollment
  • 2 clinicians in this Medicare group
NPI 1881463586 (531) 999-1716

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

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.

GILBERT WYNSTON NOWAK PLADC
Counselor (Addiction (Substance Use Disorder))
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
KERRI ANN TAYLOR LIMHP
Counselor (Mental Health)
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5496
JADE KELLY PRUSIA PLMHP
Counselor (Mental Health)
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
STEPHEN CENTER, INC.
Substance Abuse Rehabilitation Facility
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5440
BROOKLYNN PRUSSING PLMHP
Counselor (Addiction (Substance Use Disorder))
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
MR. MICHAEL HINOJOSA
Counselor (Addiction (Substance Use Disorder))
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
MR. JAMAL MORTON LIMHP
Counselor (Mental Health)
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5446
MIKE SMITH
Occupational Therapist (Mental Health)
5217 S 28TH ST
OMAHA, NE 68107
Douglas County (402) 715-5440

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 Medjine Desgraves's NPI number?

The NPI number for Medjine Desgraves is 1285250332. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Medjine Desgraves located?

Medjine Desgraves practices at 5217 S 28th St, Omaha, NE 68107. The listed phone number is (402) 715-5449.

What is Medjine Desgraves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Medjine Desgraves enrolled in Medicare?

Yes. Medjine Desgraves 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 Medjine Desgraves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Medjine Desgraves reassigns Medicare benefits to True Vine Counseling LLC (Omaha, 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 Medjine Desgraves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Medjine Desgraves accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter from Sunflower Health Plan and 2 other insurers list Medjine Desgraves 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 Medjine Desgraves was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.