NPIMap

Individual provider Active NPI

Nathan P Denell, DO

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1124119482
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
547 Issued in NE
Practice address
3201 Pioneers Blvd
Suite 304
Lincoln, NE 68502-5963
Phone
(402) 483-2987
Fax
(402) 483-2981
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 547 NE Primary

Addresses

Primary practice location

3201 Pioneers Blvd
Suite 304
Lincoln, NE 68502-5963

Mailing address

3201 Pioneers Blvd
Suite 304
Lincoln, NE 68502-5963
Phone (402) 483-2987

Other identifiers 2

IdentifierTypeStateIssuer
50289OtherNEBCBS
47068394113MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000635 NE Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6305938564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lincoln Family Physicians PCGroup PAC ID 7214911270, 15 clinicians

Practice addresses (Care Compare)

3201 Pioneers Blvd
Suite 304
Lincoln, NE 68502-5963
Phone (402) 483-2987

Hospital & facility affiliations

  • Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
  • Hillcrest Home Care Home health agency, Bellevue, NE, CCN 287133
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Madonna Rehabilitation Hospital Lincoln Inpatient rehabilitation facility, Lincoln, NE, CCN 283025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
547NEMDRadiography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Family Physicians, PC Family Medicine Current Accepting new patients
South Lincoln Family Physicians, PC Family Medicine CurrentSince Jan 23, 2012 Accepting new patients
Lincoln Physician Network LLC Past Accepting new patients
Urgent Care Clinic of Lincoln, P.C. Past Accepting new patients

Locations

1240 Aries Dr
Lincoln, NE 68512
Phone (402) 420-1300

3201 Pioneers Blvd
Ste 304
Lincoln, NE 68502
Phone (402) 483-2987

4424 S 86th St
Lincoln, NE 68526
Phone (402) 483-2987

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.

Hospital & facility affiliations 8

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1124119482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD",
            "address_2": "SUITE 304",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-483-2987",
            "fax_number": "402-483-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD",
            "address_2": "SUITE 304",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-483-2987",
            "fax_number": "402-483-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENELL",
        "first_name": "NATHAN",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50289",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068394113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.