Active NPI
Suzane Lynne Bohlen, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 901697
- Practice address
- 6901 N 72 St
Omaha, NE 68122 - Phone
- (402) 778-9738
- Fax
- (402) 334-2849
- NPI assigned
- Mar 29, 2007
- Last updated
- Feb 19, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 901697 | NE | Primary |
Addresses
Primary practice location
6901 N 72 St
Omaha, NE 68122
Mailing address
PO Box 34310
Omaha, NE 68134
Phone (402) 778-9738
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I21224 | Other | IA | MEDICARE-MERCY |
| 10025745800 | Medicaid | NE | |
| 47055043815 | Medicaid | NE | |
| 10025709800 | Medicaid | NE | |
| 098713 | Other | NE | MEDICARE-IMC/BERGAN |
| 10025507900 | Medicaid | IA | |
| NA1324 | Other | NE | MEDICARE-MIDLANDS |
Other names 1
- Suzane Lynne Livasy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2808 S 143Rd PLZ
Nebraska Orthopaedic Hospital LLC
Omaha, NE 68144-5611
Phone (402) 637-0600
4909 S 118TH St
Omaha, NE 68137-2213
Phone (402) 397-2010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901697 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoanesthesia, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Leighow Anesthesia & Medical Aesthetics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metro Omaha Anesthesia PC | Current | Accepting new patients | |
| Hypnos Anesthesia PC | Current | Accepting new patients | |
| TTB Services Prof LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Services of Omaha LLC | Past | Accepting new patients |
Locations
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 462-8470
2727 N Clarkson St
Fremont, NE 68025
Phone (402) 727-8500
11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020
11704 W Center Rd
Ste 110
Omaha, NE 68144
Phone (402) 212-0847
11819 Miracle Hills Dr
Ste 201
Omaha, NE 68154
Phone (402) 884-2450
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
17030 Lakeside Hills Plz
Ste 110
Omaha, NE 68130
Phone (402) 717-8000
2808 S 143rd Plz
Omaha, NE 68144
Phone (321) 223-0225
3201 S 24th St
Omaha, NE 68108
Phone (402) 345-9132
4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
9850 Nicholas St
Omaha, NE 68114
Phone (402) 343-1122
535 Fortune Dr
Ste 200
Papillion, NE 68046
Phone (402) 934-8040
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1184265274
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
- NPI 1962743492
NE, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1699837682
-
- Certified Registered Nurse Anesthetist
- Omaha, NE
- NPI 1376936112
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1558884072
-
dba Omaha Pain Specialists, LLC
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1992127609
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356345318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1093835852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34310",
"city": "OMAHA",
"state": "NE",
"postal_code": "68134",
"telephone_number": "402-778-9738",
"fax_number": "402-334-2849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N 72 ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68122",
"telephone_number": "402-778-9738",
"fax_number": "402-334-2849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHLEN",
"first_name": "SUZANE",
"middle_name": "LYNNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "901697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-MERCY",
"identifier": "I21224",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025745800",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47055043815",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025709800",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-IMC/BERGAN",
"identifier": "098713",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025507900",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-MIDLANDS",
"identifier": "NA1324",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANE",
"last_name": "LIVASY",
"middle_name": "LYNNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.