MELISSA PRICKETT (APRN) – Family Medicine Physician, NPI 1669021796
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
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Provider Addresses for MELISSA PRICKETT (APRN)
4702 N 173RD CIR
OMAHA, NE 681163148
Phone: (402) 304-9069
Type: Mailing
Boys Town, Douglas County, Nebraska, 68010, United States
BOYS TOWN, NE 68010
Phone: (531) 355-7420
Type: Location
2126 N 117TH AVE
OMAHA, NE 681643670
Phone: (402) 934-1617
Fax: (402) 934-5228
Type: Location
4608 N 188TH ST
ELKHORN, NE 680221243
Phone: (402) 304-9069
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-09-15 • Largest payer in this snapshot: LivaNova USA, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LivaNova USA, Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191023002185 | I | Nurse Practitioner | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Nurse Practitioner | AK | |
| Clinical Psychologist | NE | |
| Occupational Therapist In Private Practice | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Clinical Social Worker | NE | |
| - | NE | |
| Mental Health Counselor | NE | |
| Marriage And Family Therapist | NE |
Reviews
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