BRENDA KAY WALLINGFORD APRN NNP-BC
NPI 1235340258
Nurse Practitioner - Neonatal, Critical Care in Omaha, NE
NPI Status: Active since May 24, 2007
- Individual
- Female
- Nurse Practitioner
- Neonatal, Critical Care
- Accepts Insurance
- PECOS Enrolled
About BRENDA WALLINGFORD
This page provides the complete NPI Profile along with additional information for Brenda Wallingford, a provider established in Omaha, Nebraska with a medical specialization in Nurse Practitioner, focusing in neonatal, critical care . The healthcare provider is registered in the NPI registry with number 1235340258 assigned on May 2007. The practitioner's primary taxonomy code is 363LN0005X with license number 110533 (NE). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1235340258
- Provider Name
- BRENDA KAY WALLINGFORD APRN NNP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7500 MERCY RD OMAHA, NE 68124
- Location Phone
- (402) 398-6014
- Mailing Address
- 11809 WINDCREST DR PAPILLION, NE 68133
- Mailing Phone
- (402) 490-7197
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-24-2007
- Last Update Date
- 03-02-2010
- Code Navigator
A nurse practitioner (NP) like Brenda Wallingford is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Neonatal, Critical Care
- Taxonomy Code
- 363LN0005X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 110533
- License State
- NE
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363LN0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 110533 (NE) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
- Medica with CHI Health Bronze $0 Copay PCP Visits - EPO
- Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam - EPO
- Medica with CHI Health Bronze Premier - EPO
- Medica with CHI Health Bronze Premier + Adult Eye Exam - EPO
- Medica with CHI Health Bronze Share - EPO
- Medica with CHI Health Bronze Share + Adult Eye Exam - EPO
- Medica with CHI Health Expanded Bronze Standard - EPO
- Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam - EPO
- Medica with CHI Health Gold $0 Copay PCP Visits - EPO
- Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam - EPO
- Bronze Classic - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Brenda Wallingford is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 68124 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.2
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $20.3
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.55
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $23.38
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for BRENDA KAY WALLINGFORD APRN NNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 3 | 5 | 3 | 4 | 0 | 2 | 5 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 6 | 5 | 6 | 4 | 0 | 2 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 6 + 5 + 6 + 4 + 0 + 2 + 1 + 0 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1235340258 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1063406882 | DR. PHILLIP JAMES VUCHETICH PHARM.D. Individual | Pharmacist | 7500 MERCY RD BERGAN MERCY MEDICAL CENTER OMAHA, NE 68124 (402) 398-6167 |
1255303004 | DR. ROBERT T MEYER PHARM.D. Individual | Pharmacist | 7500 MERCY RD PHARMACY DEPARTMENT OMAHA, NE 68124 (402) 398-5966 |
1902879042 | CRAIG C TAYLOR MD Individual | Internal Medicine (Cardiovascular Disease) | 7500 MERCY RD OMAHA, NE 68124 (402) 398-5880 |
1114994449 | DR. DENNIS P TIERNEY M.D. Individual | Internal Medicine (Interventional Cardiology) | 7500 MERCY RD OMAHA, NE 68124 (402) 398-5880 |
1487617403 | KYLE ADAM KREHBIEL MD Individual | Radiology (Diagnostic Radiology) | 7500 MERCY RD OMAHA, NE 68124 (402) 398-6198 |
1730137761 | DR. GRIFFITH F EVANS M.D. Individual | Anesthesiology (Pain Medicine) | 7500 MERCY RD OMAHA, NE 68124 (402) 343-8760 |
1871543728 | DR. BEVERLY LYNN TIMERDING MD Individual | Emergency Medicine | 7500 MERCY RD ALEGENT HEALTH BERGAN MERCY EMERGENCY DEPT OMAHA, NE 68124 (402) 398-6161 |
1578513289 | DR. EDWARD PAUL HUIGENS MD Individual | Emergency Medicine | 7500 MERCY RD ALEGENT HEALTH BERGAN MERCY EMERGENCY DEPT OMAHA, NE 68124 (402) 398-6161 |
1154372043 | DR. THADDEUS DAVID WOODS MD Individual | Emergency Medicine | 7500 MERCY RD ALEGENT HEALTH BERGAN MERCY EMERGENCY DEPT OMAHA, NE 68124 (402) 398-6161 |
1104851872 | DR. PATRICK JAMES MCKENNA M.D. Individual | Radiology (Therapeutic Radiology) | 7500 MERCY RD ALEGENT HEALTH BERGAN MERCY RADIATION ONCOLOGY OMAHA, NE 68124 (402) 398-6485 |
1780604090 | BARBARA ANN GOINES APRN Individual | Nurse Practitioner | 7500 MERCY RD OMAHA, NE 68124 (402) 398-5880 |
1184637472 | ANN GLOW CRNA Individual | Nurse Anesthetist, Certified Registered | 7500 MERCY RD OMAHA, NE 68124 (402) 398-6176 |
1861505844 | DIANNE GREER CRNA Individual | Nurse Anesthetist, Certified Registered | 7500 MERCY RD OMAHA, NE 68124 (402) 343-8760 |
1497868137 | PROFESSIONAL ANESTHESIA SERVICES LLP Organization | Anesthesiology | 7500 MERCY RD OMAHA, NE 68124 (402) 398-6176 |
1306950175 | RICHARD HAYDEN CRNA Individual | Nurse Anesthetist, Certified Registered | 7500 MERCY RD OMAHA, NE 68124 (402) 343-8760 |
1447364146 | LYNN FERDIG CRNA Individual | Nurse Anesthetist, Certified Registered | 7500 MERCY RD OMAHA, NE 68124 (402) 343-8760 |
1104930825 | JAMES MILDER CRNA Individual | Nurse Anesthetist, Certified Registered | 7500 MERCY RD OMAHA, NE 68124 (402) 344-8760 |
1538273263 | JAY LAKE CRNA Individual | Nurse Anesthetist, Certified Registered | 7500 MERCY RD OMAHA, NE 68124 (402) 343-8760 |
1578677209 | GARY IWANSKY CRNA Individual | Nurse Anesthetist, Certified Registered | 7500 MERCY RD OMAHA, NE 68124 (402) 343-8760 |
1881708386 | DR. DONALD KERR MD Individual | Anesthesiology | 7500 MERCY RD OMAHA, NE 68124 (402) 343-8760 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235340258, enumerated in the NPI registry as an "individual" on May 24, 2007
The provider is located at 7500 Mercy Rd Omaha, Ne 68124 and the phone number is (402) 398-6014
The provider's speciality is Nurse Practitioner with taxonomy code 363LN0005X with a focus in Neonatal, Critical Care
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medica and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.2 with an average copayment of $20.3 for new patient appointments. Established patients should expect a typical charge of $93.55 and an average copayment of 23.38. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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