Individual provider Active NPI

Laura Lindauer, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1043365109
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
791 Issued in NE
Practice address
8613 N 30TH St
Omaha, NE 68112-1852
Phone
(402) 453-9900
Fax
(402) 453-5617
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 791 NE Primary

Addresses

Primary practice location

8613 N 30TH St
Omaha, NE 68112-1852

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6255

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
I20040623000941 NE Practitioner - Physician Assistant 6800871740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

6829 N 72ND St
Omaha, NE 68122-1724

8613 N 30TH St
Omaha, NE 68112-1800
Phone (402) 453-9900

Hospital & facility affiliations

  • CHI Health at Home - Omaha Home health agency, Omaha, NE, CCN 287019
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
791NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Aug 2, 2004 Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

1130 N 204th Ave
Elkhorn, NE 68022
Phone (402) 289-3377

5005 S 153rd St
Ste 100
Omaha, NE 68137
Phone (402) 614-1258

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

6829 N 72nd St
Ste 3100
Omaha, NE 68122
Phone (402) 391-3870

8613 N 30th St
Omaha, NE 68112
Phone (402) 451-2125

Interoperability endpoints

  • Direct secure messaging: llindauer8558@achce.catholichealth.net

Organizations & group practices 2

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 5

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1043365109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681121852",
            "telephone_number": "402-453-9900",
            "fax_number": "402-453-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAUER",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.