Organization Active NPI

Anesthesia & Pain Services LLC

  • Pain Medicine (Anesthesiology) Physician
  • Lincoln, NE
National Provider Identifier
1083204804
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ANESTHESIA & PAIN SERVICES LLC
Practice address
8141 S 15TH St Ste a
Lincoln, NE 68512-7801
Phone
(402) 431-3333
Fax
(402) 325-1325
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Jeremy Young, CRNANPI 1578704359
Title
Ceo
Phone
(603) 831-1468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

8141 S 15TH St Ste a
Lincoln, NE 68512-7801

Mailing address

8141 S 15TH St Ste a
Lincoln, NE 68512-7801
Phone (402) 431-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210813000996 NE Part B Supplier - Clinic/Group Practice 5597169409 Receives reassigned benefits from 3 practitioners
Practice locations: Lincoln, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2277236Anesthesia & Pain Services, LLC8141 S 15TH St Suite a, Lincoln, NE 68512Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

8141 S 15th St
Ste A
Lincoln, NE 68512
Phone (402) 431-3333

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1083204804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8141 S 15TH ST STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685127801",
            "telephone_number": "402-431-3333",
            "fax_number": "402-325-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8141 S 15TH ST STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685127801",
            "telephone_number": "402-431-3333",
            "fax_number": "402-325-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA & PAIN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-831-1468",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 21, 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.

Verify at the official NPI Registry.