Individual provider Active NPI

Camie Lynn Nitzel, PHD, LP

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1124120621
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
956 Issued in NE
Practice address
8001 S 15TH St Ste C
Lincoln, NE 68512-9617
Phone
(402) 483-7900
Fax
(402) 483-7971
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 956 NE Primary
Mental Health Counselor 101YM0800X 1626 NE

Addresses

Primary practice location

8001 S 15TH St Ste C
Lincoln, NE 68512-9617

Mailing address

8001 S 15TH St Ste C
Lincoln, NE 68512-9617
Phone (402) 483-7900

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117001545 NE Practitioner - Clinical Psychologist 1254677941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camie L Nitzel PHD LP LLCGroup PAC ID 0446596134, 5 clinicians

Practice addresses (Care Compare)

8001 S 15TH St
Suite C
Lincoln, NE 68512-9617

8001 S 15TH St C
Kindred Psychology
Lincoln, NE 68512-9617
Phone (402) 483-7900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1626NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Camie L Nitzel, PHD LP, LLC Psychologist Current Accepting new patients

Locations

3201 Pioneers Blvd
Ste 218
Lincoln, NE 68502
Phone (402) 327-1677

8001 S 15th St
Ste C
Lincoln, NE 68512
Phone (402) 483-7900

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1124120621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 S 15TH ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129617",
            "telephone_number": "402-483-7900",
            "fax_number": "402-483-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S 15TH ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129617",
            "telephone_number": "402-483-7900",
            "fax_number": "402-483-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZEL",
        "first_name": "CAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "956",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.