DR. DIVA VITEARE WILSON MD
NPI 1821595877
Family Medicine in Gretna, NE

Q: What is Diva Wilson's NPI number?

The NPI number for Diva Wilson is 1821595877. It was assigned to this individual provider in the NPPES registry on April 6, 2018. The provider is also known as Diva Viteare Bomgaars MD.

Q: What is Diva Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Diva Wilson was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment

102 W GRUENTHER RD, GRETNA, NE 68028(402) 332-2772(402) 332-5446 Get Directions Write a Review

NPPES record last updated: April 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2026, Aug 17, 2021 (2 updates tracked since 2021).

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About Dr. Diva Viteare Wilson Md NPPES

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

DR. DIVA VITEARE WILSON MD (NPI 1821595877) is an individual family medicine provider in Gretna, Nebraska, licensed in Iowa (MD-48710) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Chi Health Mercy Council Bluffs, and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1821595877

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DIVA VITEARE WILSONCredential: MD

Location Address102 W GRUENTHER RDGretna, NE 68028-4828

Mailing Address102 W Gruenther RdGretna, NE 68028-4828 · (402) 332-2772 · Fax (402) 332-5446

Phone(402) 332-2772

Fax(402) 332-5446

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2018

Enumeration DateApril 6, 2018

Last NPPES UpdateApril 12, 20262 updates tracked since enumeration

NPPES CertifiedApril 12, 2026

✔ NPI 1821595877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IA · MD-48710✔ Licensed in NE · 33607

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

102 W GRUENTHER RD, Gretna, NE 68028

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Other Names 1

Former Name (1)Diva Viteare Bomgaars Md

Secondary Practice Location 1

Location 12412 Cuming St Ste 200Omaha, NE 68131-1604 · Phone (402) 717-0380

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

Dr. Diva Viteare Wilson Md 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 ID6103163548

PECOS Enrollment IDI20210823001359, I20210823001491

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

Medicare enrollment records show Diva Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alegent Creighton Clinic

10 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

Charles Drew Health Center, Inc

17 mi

Federally Qualified Health Center (FQHC)

2915 GRANT STREET
Omaha, NE 68111

Reassigned Medicare billing, Nebraska enrollment
65 clinicians in this Medicare group

NPI 1255302170 (402) 451-3553

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 8

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,320 services13 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

236 services121 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

126 services86 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

81 services66 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

65 services65 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

24 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Chi Health Mercy Council Bluffs

Acute Care Hospitals · Council Bluffs, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160028

Location800 Mercy DriveCouncil Bluffs, IA 51503 · Pottawattamie County

Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280060

Location7500 Mercy RdOmaha, NE 68124 · Douglas County

Emergency services Birthing friendly

Chi Health Midlands

Acute Care Hospitals · Papillion, NE

OwnershipVoluntary non-profit - Church

CMS Certification Number280105

Location11111 South 84th StPapillion, NE 68046 · Sarpy County

Emergency services

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 68028 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 8

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

DEREK LOGAN MARSHALL MD

Family Medicine