Maple Crest Care Center – Skilled Nursing Facility, NPI 1073501896

Maple Crest Care Center is a healthcare provider. based in Omaha, Nebraska. specializing in Skilled Nursing Facility. The organization holds a License No. 264009 (NE). The NPI Number for Maple Crest Care Center is 1073501896

Main info

Organization
Name
Maple Crest Care Center
NPI
1073501896
Phone
(402) 551-8282
Address
2824 NORTH 66TH AVE
Authorized Official
CHRISTINA R KOTZ DIRECTOR OF RESIDNET RECEIVABLES
Enumeration Date
6 October 2005
Last Update Date
3 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Maple Crest Care Center

  • 2824, North 66th Avenue, Burnham Place, Benson, Omaha, Douglas County, Nebraska, 68104, United States

    OMAHA, NE 681043928

    Phone: (402) 551-8282

    Fax: (402) 551-1819

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-04-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040421001485OSkilled Nursing FacilityNETBD

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.

Verify on CMS Revalidation Lookup Tool

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 68104)

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Reviews

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Frequently asked questions

Can I use this page to confirm Maple Crest Care Center's NPI?
Yes. Maple Crest Care Center is listed with NPI 1073501896 in the public NPI dataset.
Is Maple Crest Care Center still practicing?
Maple Crest Care Center is currently listed as active in the public NPI registry.
What healthcare role does Maple Crest Care Center hold?
Scheduling teams often label Maple Crest Care Center under Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where should I expect Maple Crest Care Center on a map?
Expect Omaha, Nebraska as a primary anchor for Maple Crest Care Center unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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