Individual provider Active NPI

Nicholas T Genrich, APRN

  • Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1124645072
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2136 Issued in NE
Practice address
1500 S 48TH St Ste 800
Lincoln, NE 68506-1200
Phone
(402) 483-8600
Fax
(402) 483-8689
NPI assigned
Jun 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2136 NE Primary

Addresses

Primary practice location

1500 S 48TH St Ste 800
Lincoln, NE 68506-1200

Mailing address

1500 S 48TH St Ste 800
Lincoln, NE 68506-1200
Phone (402) 483-8600

Other identifiers 1

IdentifierTypeStateIssuer
10026945601MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholas.genrich.1@32348.direct.athenahealth.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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819002321 NE Practitioner - Nurse Practitioner 1153747290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Pulmonary Specialties LLCGroup PAC ID 3072412881, 28 clinicians

Practice addresses (Care Compare)

1500 S 48TH St
Suite 800
Lincoln, NE 68506-1200
Phone 4024838600401

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

Merit-based Incentive Payment System (MIPS)

Final score
72.15 of 100Reported as group
Quality
63.81
Promoting interoperability
63
Improvement activities
40
Cost
69.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2136NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Pulmonary Specialties LLC CurrentSince Jul 13, 2020 Accepting new patients
Kevin J Reichmuth, MD, PC Current Accepting new patients
John F. Trapp, MD, PC Current Accepting new patients
Pulmonary Medicine of Lincoln, PC Current Accepting new patients
Douglas R. Fiedler, MD, PC Current Accepting new patients
William M Johnson, MD, PC Current Accepting new patients
Jeffrey E Jarrett, MD, PC Current Accepting new patients

Locations

1500 S 48th St
Ste 800
Lincoln, NE 68506
Phone (402) 483-8600

Interoperability endpoints

  • Direct secure messaging: nicholas.genrich.1@32348.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/32348/brand/1/csg/1/fhir/r4

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.

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1124645072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST STE 800",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061200",
            "telephone_number": "402-483-8600",
            "fax_number": "402-483-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST STE 800",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061200",
            "telephone_number": "402-483-8600",
            "fax_number": "402-483-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENRICH",
        "first_name": "NICHOLAS",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026945601",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholas.genrich.1@32348.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 S 48th St Ste 800",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.