1. Home
  2. Directory
  3. Nebraska
  4. Waterloo
  5. Nurse Practitioner
  6. NPI Profile

PRO CARE MENTAL HEALTH INC
NPI 1356885024
Nurse Practitioner - Psychiatric/Mental Health in Waterloo, NE

Active since December 14, 2016
421 S 243RD ST, WATERLOO, NE 68069(402) 980-1697(402) 896-3695 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pro Care Mental Health Inc NPPES

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

PRO CARE MENTAL HEALTH INC (NPI 1356885024) is a healthcare organization registered as a psychiatric/mental health in Waterloo, Nebraska and active in the NPI registry since December 2016. The organization lists Dean A List, Owner, as its authorized official.

NPPES Registry Identity

NPI1356885024
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePRO CARE MENTAL HEALTH INC
Location Address421 S 243RD STWaterloo, NE 68069-4704
Mailing Address421 S 243rd StWaterloo, NE 68069-4704 · (402) 980-1697 · Fax (402) 896-3695
Phone(402) 980-1697
Fax(402) 896-3695
Organization SubpartNo
Authorized OfficialDean A ListOwner · (402) 980-1697
Enumeration DateDecember 14, 2016
✔ NPI 1356885024 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 · 110412
421 S 243RD ST, Waterloo, NE 68069
Open in Google Maps ↗

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)

Pro Care Mental Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pro Care Mental Health Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Petrisor Tudor, PMHNP-BC, APRN, MSN
Nurse Practitioner
NPI 1194447367
11404 W DODGE RD STE 300
Omaha, NE 68154
(402) 898-1113
✔ PECOS✔ Accepts Medicare11 mi
Dean List, NP
Nurse Practitioner
NPI 1568409001
8511 AUGUSTA DR
Lincoln, NE 68526
(402) 328-8833
✔ PECOS✔ Accepts Medicare38 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 Pro Care Mental Health Inc's NPI number?

The NPI number for Pro Care Mental Health Inc is 1356885024. It was assigned to this organization in the NPPES registry on December 14, 2016.

Where is Pro Care Mental Health Inc located?

Pro Care Mental Health Inc is located at 421 S 243rd St, Waterloo, NE 68069. The listed phone number is (402) 980-1697.

What is Pro Care Mental Health Inc's specialty?

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

Is Pro Care Mental Health Inc enrolled in Medicare?

Yes. Pro Care Mental Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pro Care Mental Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pro Care Mental Health Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pro Care Mental Health Inc accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Pro Care Mental Health Inc 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 Pro Care Mental Health Inc was last updated on December 14, 2016. 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.