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

Active since July 16, 2025CLIA 28D2329189 · Waiver
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: July 26, 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 holds a CLIA Waiver certificate valid through August 24, 2027 and 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2329189

Renewed Health Outreach And Psychotherapy, LLC · Lincoln, NE
Active · expires Aug 24, 2027
CLIA Number28D2329189
Laboratory TypePractitioner Other
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorJodi Fuehrer
Laboratory Phone(402) 937-1920
Laboratory LocationRenewed Health Outreach And Psychotherapy, LLC3510 Village Dr, Suite 2, Lincoln, NE 68516
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3510 VILLAGE DR STE B
LINCOLN, NE 68516
Counselor (Mental Health)
3510 VILLAGE DR STE B
LINCOLN, NE 68516

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.

Does Renewed Health Outreach And Psychotherapy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2329189) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.