Individual provider Active NPI

Lillian Boutros Simpson, APRN

  • Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1013533967
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113189 Issued in NE
Practice address
104 W 33Rd St
Kearney, NE 68847-2959
Phone
(308) 865-7985
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 68090 NE
Nurse Practitioner 363L00000X 113189 NE Primary

Addresses

Primary practice location

104 W 33Rd St
Kearney, NE 68847-2959

Mailing address

1602 W 37TH St
Kearney, NE 68845-2768
Phone (308) 440-7606

Other names 1

  • Lillian Boutros Younes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lilliansimpson@catholichealth.net Direct

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
I20200721000355 NE Practitioner - Nurse Practitioner 3476977703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

104 W 3Rd St
CHI Health Regional Cancer CNTR Kearney
Kearney, NE 68847-2959
Phone (308) 865-7985

7440 S 91St St
Lincoln, NE 68526-9797

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68090NEMDCritical Care Medicine Registered Nurse
113189NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

104 W 33rd St
Kearney, NE 68847
Phone (308) 865-7564

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1013533967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W 37TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452768",
            "telephone_number": "308-440-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 33RD ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472959",
            "telephone_number": "308-865-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "LILLIAN",
        "middle_name": "BOUTROS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NE",
            "license": "68090",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lilliansimpson@catholichealth.net",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "104 W 33rd St",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688472959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "YOUNES",
            "middle_name": "BOUTROS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.