Active NPI
Mathieu Lane Hinze, MD
- Plastic Surgery Physician
- Lincoln, NE
National Provider Identifier
1104845148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 15894
- Practice address
- 4400 Lucile Dr Ste 103
Lincoln, NE 68516-4211 - Phone
- (402) 483-2572
- Fax
- (402) 483-2619
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 15894 | NE | Primary |
Addresses
Primary practice location
4400 Lucile Dr Ste 103
Lincoln, NE 68516-4211
Mailing address
4400 Lucile Dr Ste 103
Lincoln, NE 68516-4211
Phone (402) 483-2572
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013936012 | Medicaid | NE | |
| P00230083 | Other | RR MEDICARE PERFORMING # | |
| 1300171 | Other | UNITED HEALTH CARE | |
| 47066039913 | Medicaid | NE | |
| 07373 | Other | BLUE CROSS BLUE SHIELD | |
| 247054 | Other | MIDLANDS CHOICE PPO | |
| CG2908 | Other | RAILROAD MEDICARE GROUP # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.psa.phiportal.com | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Nebraska College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4400 Lucile Dr
Suite 103
Lincoln, NE 68516-4211
Phone (402) 483-2572
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgical Arts PC | Plastic Surgery | Current | Accepting new patients |
| Sjmgroup | Past | Accepting new patients |
Locations
4400 Lucile Dr
Ste 103
Lincoln, NE 68516
Phone (402) 483-2572
1730 S 70th St
Ste 210
Lincoln, NE 68506
Phone (402) 483-2572
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Lincoln, NE
- NPI 1013936012
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1104845148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 LUCILE DR STE 103",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164211",
"telephone_number": "402-483-2572",
"fax_number": "402-483-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 LUCILE DR STE 103",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164211",
"telephone_number": "402-483-2572",
"fax_number": "402-483-2619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINZE",
"first_name": "MATHIEU",
"middle_name": "LANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NE",
"license": "15894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013936012",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PERFORMING #",
"identifier": "P00230083",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1300171",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47066039913",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07373",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE PPO",
"identifier": "247054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "CG2908",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.psa.phiportal.com",
"affiliation": "N",
"endpointDescription": "www.psa.phiportal.com",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4400 Lucile Dr Ste 103",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685164211",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 1, 2022; 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.