Active NPI
Andrea L Lawlor, M.D.
- Family Medicine Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22230
- Practice address
- 12728 Augusta Avenue
Omaha, NE 68144-3752 - Phone
- (402) 330-1410
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22230 | NE | Primary |
Addresses
Primary practice location
12728 Augusta Avenue
Omaha, NE 68144-3752
Mailing address
12728 Augusta Avenue
Omaha, NE 68144-3752
Phone (402) 330-1410
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75304640000 | Medicaid | NE | |
| 0104995 | Other | UNITED HEALTHCARE | |
| 92074 | Other | IA | WELLMARK BCBS IA |
| 06064 | Other | NE | BLUE CROSS & BLUE SHIELD |
| 4557165 | Medicaid | IA |
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
- Family Practice
- Education
- University of Nebraska College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
12728 Augusta Ave
Omaha, NE 68144-3754
Phone (402) 330-1410
717 N 190TH PLZ
Suite 1100
Elkhorn, NE 68022-3917
Phone (402) 815-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Family Medicine | Current | Accepting new patients |
| Primary Care Physicians, LLP | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Burton Prosthetics Inc | Past | Accepting new patients | |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Family Medicine and Surgery PC | Past | Accepting new patients | |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
Locations
810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116
812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
10710 Fort St
Omaha, NE 68134
Phone (402) 354-7500
12728 Augusta Ave
Omaha, NE 68144
Phone (402) 330-1410
Interoperability endpoints
- andrea.lawlor@direct.nmhs.org
- andrea.lawlor@primarycarephysicians.cernerdirect.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
-
- General Practice Physician
- Omaha, NE
- NPI 1649230426
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Prosthetic/Orthotic Supplier
- Omaha, NE
- NPI 1336140011
-
- General Practice Physician
- Ralston, NE
- NPI 1417143066
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Papillion, NE
- NPI 1215006101
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Home Health Agency
- Omaha, NE
- NPI 1598288789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104911296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVENUE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443752",
"telephone_number": "402-330-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVENUE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443752",
"telephone_number": "402-330-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLOR",
"first_name": "ANDREA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "22230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75304640000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0104995",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS IA",
"identifier": "92074",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "06064",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4557165",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; 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.