MY ELEVATED WELLNESS PLLC
NPI 1669264784
Nurse Practitioner - Women's Health in Omaha, NE

Active since May 22, 2025
16637 HARNEY ST, OMAHA, NE 68118(402) 799-8042 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2026, May 22, 2025 (2 updates tracked since 2025).

About My Elevated Wellness Pllc NPPES

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

MY ELEVATED WELLNESS PLLC (NPI 1669264784) is a healthcare organization registered as a women's health in Omaha, Nebraska and active in the NPI registry since May 2025. The organization lists Samantha Cunningham, Owner, as its authorized official.

NPPES Registry Identity

NPI1669264784
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameMY ELEVATED WELLNESS PLLC
Location Address16637 HARNEY STOmaha, NE 68118
Mailing Address16637 Harney StOmaha, NE 68118-2709
Organization SubpartNo
Authorized OfficialSamantha CunninghamOwner · (402) 799-8042
Enumeration DateMay 22, 2025
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1669264784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
16637 HARNEY ST, Omaha, NE 68118

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

My Elevated Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to My Elevated Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1134551880
5006 SERGEANT RD # 123
Sioux City, IA 51106
(402) 799-8042
✔ PECOS✔ Accepts Medicare83 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 My Elevated Wellness PLLC's NPI number?

The NPI number for My Elevated Wellness PLLC is 1669264784. It was assigned to this organization in the NPPES registry on May 22, 2025.

Where is My Elevated Wellness PLLC located?

My Elevated Wellness PLLC is located at 16637 Harney St, Omaha, NE 68118. The listed phone number is (402) 799-8042.

What is My Elevated Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is My Elevated Wellness PLLC enrolled in Medicare?

Yes. My Elevated Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Elevated Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to My Elevated Wellness PLLC. 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 My Elevated Wellness PLLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list My Elevated Wellness PLLC 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 My Elevated Wellness PLLC was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.