DENISE FALCON CMSW
NPI 1295809408
Counselor - Mental Health in Omaha, NE
About Denise Falcon Cmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENISE FALCON CMSW (NPI 1295809408) is an individual mental health provider in Omaha, Nebraska, licensed in Nebraska (129) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Denise Falcon Cmsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Denise Falcon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Omaha, NE 68144
- Reassigned Medicare billing, Nebraska enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Denise Falcon's NPI number?
The NPI number for Denise Falcon is 1295809408. It was assigned to this individual provider in the NPPES registry on November 20, 2006.
Where is Denise Falcon located?
Denise Falcon practices at 42nd At Dewey St., Omaha, NE 68105. The listed phone number is (402) 552-6007.
What is Denise Falcon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Denise Falcon enrolled in Medicare?
Yes. Denise Falcon 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 Denise Falcon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denise Falcon reassigns Medicare benefits to Omaha Insomnia And Psychiatric Services, 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 Denise Falcon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Denise Falcon accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Denise Falcon 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 Denise Falcon was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Denise Falcon, CMSW · NPI 1295809408
Mental Health provider in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1295809408 (Entity type: Individual)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 129 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 42ND AT DEWEY ST., Omaha, NE 68105-1107
- **Phone:** (402) 552-6007 · **Fax:** (402) 552-6035
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Omaha Insomnia And Psychiatric Services, LLC (NPI 1740623057, Omaha, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** March 3, 2017
- **Other identifiers:** Other CMSW972 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1295809408) · Data from the CMS NPPES public registry.