Individual provider Active NPI

Evan James Lenertz

  • Foot & Ankle Surgery Podiatrist
  • Hastings, NE
National Provider Identifier
1124587191
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
391 Issued in NE
Practice address
306 W 2ND St
Hastings, NE 68901-7532
Phone
(402) 751-0600
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 391 NE Primary

Addresses

Primary practice location

306 W 2ND St
Hastings, NE 68901-7532

Mailing address

306 W 2ND St
Hastings, NE 68901-7532
Phone (402) 751-0600

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706000500 NE Practitioner - Podiatry 5395076681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte River Foot and Ankle Surgeons LLCGroup PAC ID 7810300282, 7 clinicians

Practice addresses (Care Compare)

720
Suite 6
Gretna, NE 68028-7943
Phone (402) 751-0600

Hospital & facility affiliations

  • Community Medical Center, Inc Hospital, Falls City, NE, CCN 281352
  • Saunders Medical Center Hospital, Wahoo, NE, CCN 281307
  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105
  • Faith Health Hospital, Norfolk, NE, CCN 280125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue82
Removal of skin lesions16
Removal of nail tissue390
Removal or shaving of skin growth139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
391NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Platte River Foot and Ankle Surgeons LLC Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients
Nemaha County Hospital CurrentSince Jan 1, 2024 Accepting new patients
Platte River Foot and Ankle Surgeons LLC Foot & Ankle Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

2022 13th St
Auburn, NE 68305
Phone (402) 274-4366

720 Us6
Gretna, NE 68028
Phone (402) 463-1355

720 Us6
Gretna, NE 68028

306 W 2nd St
Hastings, NE 68901
Phone (402) 463-1355

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/nemaha-659e4e0f
  • Direct secure messaging: elenertz406128@direct.nebraskamed.com

Organizations & group practices 3

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 4

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1124587191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 2ND ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689017532",
            "telephone_number": "402-751-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 2ND ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689017532",
            "telephone_number": "402-751-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENERTZ",
        "first_name": "EVAN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NE",
            "license": "391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.