RENEWED HEALTH OUTREACH AND PSYCHOTHERAPY LLC
NPI 1619869419
Nurse Practitioner in Lincoln, NE

Active since July 16, 2025
3510 VILLAGE DR STE B, LINCOLN, NE 68516(402) 937-1920(402) 937-1955 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Renewed Health Outreach And Psychotherapy Llc NPPES

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

RENEWED HEALTH OUTREACH AND PSYCHOTHERAPY LLC (NPI 1619869419) is a healthcare organization registered as a nurse practitioner in Lincoln, Nebraska and active in the NPI registry since July 2025. The organization lists Grant Papenhagen, Hr Manager, as its authorized official.

NPPES Registry Identity

NPI1619869419
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameRENEWED HEALTH OUTREACH AND PSYCHOTHERAPY LLC
Location Address3510 VILLAGE DR STE BLincoln, NE 68516-5363
Mailing Address3510 Village Dr Ste BLincoln, NE 68516-5363 · (402) 937-1920 · Fax (402) 937-1955
Fax(402) 937-1955
Organization SubpartNo
Authorized OfficialGrant PapenhagenHr Manager · (402) 937-1920
Enumeration DateJuly 16, 2025
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1619869419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3510 VILLAGE DR STE B, Lincoln, NE 68516

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renewed Health Outreach And Psychotherapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Renewed Health Outreach And Psychotherapy LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1982861589
3510 VILLAGE DR
Lincoln, NE 68516
(402) 937-1920
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1942497862
3510 VILLAGE DR STE B
Lincoln, NE 68516
(402) 937-1920
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1801168653
3510 VILLAGE DR
Lincoln, NE 68516
(402) 937-1920
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932871845
3510 VILLAGE DR
Lincoln, NE 68516
(402) 937-1920
✔ PECOS✔ Accepts MedicareSame address

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 Renewed Health Outreach And Psychotherapy LLC's NPI number?

The NPI number for Renewed Health Outreach And Psychotherapy LLC is 1619869419. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Renewed Health Outreach And Psychotherapy LLC located?

Renewed Health Outreach And Psychotherapy LLC is located at 3510 Village Dr Ste B, Lincoln, NE 68516. The listed phone number is (402) 937-1920.

What is Renewed Health Outreach And Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Renewed Health Outreach And Psychotherapy LLC enrolled in Medicare?

Yes. Renewed Health Outreach And Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renewed Health Outreach And Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Renewed Health Outreach And Psychotherapy LLC, in Mental Health Counselor and Nurse Practitioner. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renewed Health Outreach And Psychotherapy LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Renewed Health Outreach And Psychotherapy LLC 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 Renewed Health Outreach And Psychotherapy LLC was last updated on October 21, 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.