Active NPI
Southwest Lincoln Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Lincoln, NE
National Provider Identifier
1053565259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SOUTHWEST LINCOLN SURGERY CENTER, LLC
- Practice address
- 2222 S 16TH St
Suite 315
Lincoln, NE 68502-3796 - Phone
- (402) 475-3100
- Fax
- (402) 475-3109
- NPI assigned
- Nov 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Eppens, RN
- Title
- Administrator
- Phone
- (402) 475-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2222 S 16TH St
Suite 315
Lincoln, NE 68502-3796
Mailing address
2222 S 16TH St Ste 315
Lincoln, NE 68502-3762
Phone (402) 475-3100
Other names 1
- Southwest Lincoln Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090324000657 | NE | Part B Supplier - Ambulatory Surgical Center | 9032276704 | Practice locations: Lincoln, NE |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Southwest Lincoln Surgery Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Lincoln, NE
- NPI 1801851175
-
- Neurological Surgery Physician
- Lincoln, NE
- NPI 1326337023
-
- Ophthalmology Physician
- Lincoln, NE
- NPI 1649280611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1053565259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 16TH ST STE 315",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023762",
"telephone_number": "402-475-3100",
"fax_number": "402-475-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 16TH ST",
"address_2": "SUITE 315",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023796",
"telephone_number": "402-475-3100",
"fax_number": "402-475-3109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST LINCOLN SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-14",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "EPPENS",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "402-475-3100",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southwest Lincoln Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.