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KELLI SUE DOLL APRN
NPI 1467853424
Nurse Practitioner - Psychiatric/Mental Health in Omaha, NE

Active since September 09, 2014PECOS EnrolledAccepts Medicare Assignment
16901 LAKESIDE HILLS CT, OMAHA, NE 68130(855) 524-4001(402) 717-7340 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2025, Sep 4, 2025, Aug 29, 2019 and 2 more (5 updates tracked since 2016).

About Kelli Sue Doll Aprn NPPES

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

KELLI SUE DOLL APRN (NPI 1467853424) is an individual psychiatric/mental health provider in Omaha, Nebraska, licensed in Nebraska (111712) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Chi Health Lakeside, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467853424
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLI SUE DOLLCredential: APRN
Location Address16901 LAKESIDE HILLS CTOmaha, NE 68130-2318
Mailing Address16901 Lakeside Hills CtOmaha, NE 68130-2318 · (855) 524-4001 · Fax (402) 717-7340
Phone(855) 524-4001
Fax(402) 717-7340
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 9, 2014
Last NPPES UpdateSeptember 12, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1467853424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NE · 111712✔ Licensed in IA · A138823
Also ListedNurse PractitionerTaxonomy 363L00000X · License 111712 (NE)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A138823 (IA), 111712 (NE)
16901 LAKESIDE HILLS CT, Omaha, NE 68130
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Other Names 1

Former Name (1)Kelli Sue Thiesen Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Kelli Sue Doll 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 ID4880816438
PECOS Enrollment IDI20141114000667, I20161128000645
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 Reassignments

3

Medicare enrollment records show Kelli Doll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alegent Creighton Clinic
3.9 mi
Internal Medicine
12809 W DODGE ROAD
Omaha, NE 68154
  • Reassigned Medicare billing, Iowa and Nebraska enrollments
  • Also billed through NPI 1154680700 (Nebraska)
  • 482 clinicians in this Medicare group
NPI 1518227859 (402) 398-6255
Alegent Creighton Health
7.8 mi
Emergency Medicine
7500 MERCY RD
Omaha, NE 68124
  • Reassigned Medicare billing, Nebraska and Iowa enrollments
  • Also billed through NPI 1770922437 (Iowa)
  • 156 clinicians in this Medicare group
NPI 1629343041 (402) 398-6161
Chi Health Clinic Specialty, LLC
38 mi
Hospitalist
555 S 70TH ST
Lincoln, NE 68510
  • Reassigned Medicare billing, Nebraska enrollment
  • 525 clinicians in this Medicare group
NPI 1285138065 (402) 219-8000

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
83 services81 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68130 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.

MAYLE OWEN
Physician Assistant
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Douglas County (855) 524-4001
NEW CENTURY PHYSICIANS OF NEBRASKA LLC
Emergency Medicine
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Douglas County (402) 717-8000
AMBER EMDE
Nurse Practitioner (Family)
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Douglas County (308) 380-0103
JAYANTHI GANESAN M.D.
Hospitalist
16901 LAKESIDE HILLS CT, ATTN: HOSPITAL MEDICINE
OMAHA, NE 68130
Douglas County (402) 398-6255
HEATHER THOMPSON
Registered Nurse (Emergency)
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Douglas County (402) 717-8111
ALEXA L JOHNSON DNP
Nurse Practitioner (Acute Care)
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Douglas County (855) 524-4001
PATRICK D MAHONEY MD
Radiology (Diagnostic Radiology)
16901 LAKESIDE HILLS CT, ALEGENT LAKESIDE HOSPITAL DEPT OF RADIOLOGY
OMAHA, NE 68130
Douglas County (404) 717-8146
DR. NICHOLAS NATHANIEL LIEBENTRITT M.D.
Anesthesiology
16901 LAKESIDE HILLS CT
OMAHA, NE 68130
Douglas County (402) 572-6500

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 Kelli Doll's NPI number?

The NPI number for Kelli Doll is 1467853424. It was assigned to this individual provider in the NPPES registry on September 9, 2014. The provider is also known as Kelli Sue Thiesen Aprn.

Where is Kelli Doll located?

Kelli Doll practices at 16901 Lakeside Hills Ct, Omaha, NE 68130. The listed phone number is (855) 524-4001.

What is Kelli Doll's specialty?

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

Is Kelli Doll enrolled in Medicare?

Yes. Kelli Doll 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 organizations bill Medicare for Kelli Doll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Doll reassigns Medicare benefits to 3 organizations: Alegent Creighton Clinic (Omaha, NE), Alegent Creighton Health (Omaha, NE) and Chi Health Clinic Specialty, LLC (Lincoln, NE). Each 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 Kelli Doll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Doll accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Kelli Doll 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.

Is Kelli Doll affiliated with any hospitals?

According to CMS data, Kelli Doll is affiliated with Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for Kelli Doll was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.