Individual provider Active NPI

Abigail Ubben, PA

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1073252433
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2765 Issued in NE
Practice address
6900 A St
Lincoln, NE 68510-4120
Phone
(402) 436-2000
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 2765 NE Primary

Addresses

Primary practice location

6900 A St
Lincoln, NE 68510-4120

Mailing address

6900 A St
Lincoln, NE 68510-4120
Phone (402) 436-2000

Other identifiers 1

IdentifierTypeStateIssuer
91177983213MedicaidNE

Other names 1

  • Abigail Conzemius Former name

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
I20220808000770 NE Practitioner - Physician Assistant 1153703194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Orthopaedic Center PCGroup PAC ID 2567432461, 65 clinicians

Practice addresses (Care Compare)

2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102

555 S 70TH St
CHI Health Saint Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-7700

575 S 70TH St
Lincoln, NE 68510-2471
Phone (402) 436-2000

6900 A St
Lincoln, NE 68510-4120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
89.76
Promoting interoperability
99
Improvement activities
40
Cost
70.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2765NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Orthopaedic Center PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

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

575 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2000

6900 A St
Ste 100
Lincoln, NE 68510
Phone (402) 436-2000

Interoperability endpoints

  • Direct secure messaging: abigail.ubben.1@32860.direct.athenahealth.com

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 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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1073252433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 A ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104120",
            "telephone_number": "402-436-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 A ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104120",
            "telephone_number": "402-436-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBBEN",
        "first_name": "ABIGAIL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91177983213",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "CONZEMIUS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.