Individual provider Active NPI

Natasha Nicole Andersen, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1013446913
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2138 Issued in NE
Practice address
5901 N 27TH St Ste 101
Lincoln, NE 68521-4752
Phone
(402) 483-8582
NPI assigned
Jun 6, 2017
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2138 NE Primary
Emergency Medicine Physician 207P00000X 2138 NE

Addresses

Primary practice location

5901 N 27TH St Ste 101
Lincoln, NE 68521-4752

Mailing address

5901 N 27TH St Ste 101
Lincoln, NE 68521-4752

Other practice location 1

250 N Columbia Ave
Seward, NE 68434-2248
Phone (402) 646-4622

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address natashaandersen@mhcs.medalliesdirect.net
Direct Messaging Address natashaandersen@mhcs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721001305 NE Practitioner - Physician Assistant 0446520597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians
Seward Urgent Care Partnership LLCGroup PAC ID 3274994975, 6 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

510 Bradford St
Suite a
Seward, NE 68434-1708

510 Bradford St
Suite a
Seward, NE 68434-1709
Phone (531) 727-2893

5901 N 27TH St
Lincoln, NE 68521-4752

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2138NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Care Systems CurrentSince Dec 7, 2020 Accepting new patients
Bryan Physician Network CurrentSince Feb 13, 2023 Accepting new patients
Memorial Health Care Systems Physician Assistant CurrentSince Dec 7, 2020 Accepting new patients

Locations

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

250 N Columbia Ave
Seward, NE 68434
Phone (402) 643-4800

300 N Columbia Ave
Seward, NE 68434
Phone (402) 643-2971

510 Bradford St
Seward, NE 68434
Phone (402) 646-2007

510 Bradford St
Ste A
Seward, NE 68434
Phone (531) 727-2893

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1013446913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 N 27TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N 27TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214752",
            "telephone_number": "402-483-8582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Seward",
            "state": "NE",
            "postal_code": "684342248",
            "country_code": "US",
            "telephone_number": "402-646-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2138",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "2138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natashaandersen@mhcs.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "300 N Columbia Ave",
            "city": "Seward",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684342299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natashaandersen@mhcs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "250 N Columbia Ave",
            "city": "Seward",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684342248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.