Individual provider Active NPI

Suzane Lynne Bohlen, CRNA

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1093835852
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
901697 Issued in NE
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
I21224OtherIAMEDICARE-MERCY
10025745800MedicaidNE
47055043815MedicaidNE
10025709800MedicaidNE
098713OtherNEMEDICARE-IMC/BERGAN
10025507900MedicaidIA
NA1324OtherNEMEDICARE-MIDLANDS

Other names 1

  • Suzane Lynne Livasy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070502000653 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173629466 Reassigns benefits to 5 organizations

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
Orthoanesthesia PCGroup PAC ID 2860826443, 31 clinicians
TTB Services Prof LLCGroup PAC ID 3476797135, 23 clinicians

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

LicenseStateTypeSpecialty
901697NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoanesthesia, PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Leighow Anesthesia & Medical Aesthetics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients
Metro Omaha Anesthesia PC CurrentSince Oct 2, 2017 Accepting new patients
Hypnos Anesthesia PC CurrentSince Feb 1, 2015 Accepting new patients
TTB Services Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.