Individual provider Active NPI

Lisa R Mapson, PHYSICIANS ASSISTANT

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1083737779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
489 Issued in NE
Practice address
1001 S 70TH Street
Robert D Plambeck MD PC Suite 220
Lincoln, NE 68510
Phone
(402) 486-4800
Fax
(402) 486-1459
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 489 NE Primary

Addresses

Primary practice location

1001 S 70TH Street
Robert D Plambeck MD PC Suite 220
Lincoln, NE 68510

Mailing address

1001 S 70TH Street
Robert D Plambeck MD PC Suite 220
Lincoln, NE 68510
Phone (402) 486-4800

Other identifiers 1

IdentifierTypeStateIssuer
37856OtherBCBS OF NE

Other names 1

  • Lisa R Jackson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083737779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 70TH STREET",
            "address_2": "ROBERT D PLAMBECK MD PC SUITE 220",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-486-4800",
            "fax_number": "402-486-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 70TH STREET",
            "address_2": "ROBERT D PLAMBECK MD PC SUITE 220",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-486-4800",
            "fax_number": "402-486-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPSON",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIANS ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE",
            "identifier": "37856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JACKSON",
            "middle_name": "R",
            "credential": "PAC LICENSE # 489",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.