Wade Fornander, M.D.
Individual provider Active NPI Family Medicine Physician · Lincoln, NE
NPI 1053383554 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1053383554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22563 (NE)
- Practice address
- 4600 Valley Rd
Lincoln, NE 68510-4855 - Phone
- (402) 483-4571
- Fax
- (308) 344-8369
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pender Community Hospital District
Lincoln Medical Education Partnership
Practice addresses (Care Compare)
100 Hospital Dr
Pender, NE 68047-4507
Phone (402) 385-3083
4600 Valley Rd
Suite 200
Lincoln, NE 68510-4882
Phone (402) 483-4571
Hospital & facility affiliations
- Bryan Medical Center
- Pender Community Hospital
- CHI Health St. Elizabeth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050729000399 | NE | Practitioner - Family Practice | 7012945249 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (9 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York General Hospital | Current |
Accepting new patients | |
| Jennie M Melham Memorial Medical Center Inc | Current | Accepting new patients | |
| Pender Community Hospital District | Current | Accepting new patients | |
| Jennie M Melham Memorial Medical Center Inc | Current |
Accepting new patients | |
| York General Hospital | Current |
Accepting new patients | |
| York General Hospital | Current |
Accepting new patients | |
| Providence Medical Center | Current | Accepting new patients | |
| Bryan Medical Center | Past | Accepting new patients | |
| Saint Elizabeth Regional Medical Center | Past | Accepting new patients |
Locations
4600 Valley Rd
Ste 200
Lincoln, NE 68510
Phone (402) 483-4571
4600 Valley Rd
Lincoln, NE 68510
Phone (402) 483-4571
100 Hospital Dr
Pender, NE 68047
Phone (402) 385-3083
1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800
2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420
Networks
- CO HMO
- IA HMO C-SNP
- IA HMO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22563 | NE | Yes |
Addresses
Primary practice location
4600 Valley Rd
Lincoln, NE 68510-4855
Mailing address
1401 E H St
MC Cook, NE 69001-3432
Phone (308) 344-4110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470748011-12 | Medicaid | NE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wade.fornander.1@9271.direct.athenahealth.com |
Other providers in Lincoln, NE
- Muzeyi Mboghonya Forka
- Jean Forkner
- Dickson T Forlemu
- Brody Forman
- Hailee Forman
- Evan James Forney
- Jerica Forney
- Katlyn Mae Forney
- Laura Jean Fornwalt
- Briar Rain Forrest
All providers in Lincoln, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.