Active NPI
Mary F. Harris Christensen, APRN
- Gerontology Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 111174
- Practice address
- 4700 Valley Rd
Lincoln, NE 68510-4846 - Phone
- (402) 499-5069
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 111174 | NE | Primary |
Addresses
Primary practice location
4700 Valley Rd
Lincoln, NE 68510-4846
Mailing address
1820 Surfside Dr
Lincoln, NE 68528-1748
Phone (402) 499-5069
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150129001820 | NE | Practitioner - Nurse Practitioner | 5991029696 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Nebraska College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bryan Physician NetworkCommunity Healthcare Partners NE LLC
Practice addresses (Care Compare)
1600 S 48TH St
Lincoln, NE 68506-1299
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
3901 Faulkner Dr
Lincoln, NE 68516-4738
Phone (402) 858-4044
Hospital & facility affiliations
- Bryan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients | |
| Community Healthcare Partners NE LLC | Current | Accepting new patients | |
| Lincoln Medical Education Partnership | Current | Accepting new patients |
Locations
3901 Faulkner Dr
Lincoln, NE 68516
Phone (402) 464-2422
2300 S 16th St
Ste B
Lincoln, NE 68502
4600 Valley Rd
Ste 200
Lincoln, NE 68510
Phone (402) 483-4571
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
200 N Bryant Ave
Ste 10
Edmond, OK 73034
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDJECD
- mary.christensen.1@9271.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/CDJECD/Endpoint/CDJECD
- mchristensen13553@hisp.bryanhealth.org
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1083205512
Hospital & facility affiliations 3
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": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1093000481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 SURFSIDE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685281748",
"telephone_number": "402-499-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 VALLEY RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104846",
"telephone_number": "402-499-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "MARY",
"middle_name": "F. HARRIS",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NE",
"license": "111174",
"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 Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.