NPIMap

Organization Active NPI

Wright Turn Lane PC

  • Family Medicine Physician
  • Papillion, NE
National Provider Identifier
1134522808
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WRIGHT TURN LANE PC
Practice address
1219 Applewood Dr Ste 105
Papillion, NE 68046-5763
Phone
(402) 502-0602
NPI assigned
Oct 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Mr. Pete A Crane, PA
Title
President
Phone
(402) 991-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NE Primary

Addresses

Primary practice location

1219 Applewood Dr Ste 105
Papillion, NE 68046-5763

Mailing address

8419 S 73Rd PLZ Ste 101
Papillion, NE 68046-1507
Phone (402) 991-9060

Other identifiers 1

IdentifierTypeStateIssuer
NA1991OtherNEMEDICARE PTAN

Other names 1

  • Urgent Care of Papillion South Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000383 NE Part B Supplier - Clinic/Group Practice 6305019613 Receives reassigned benefits from 31 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Papillion, NE; York, NE

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1219 Applewood Dr
Ste 105
Papillion, NE 68046
Phone (402) 502-0602

8419 S 73rd Plz
Ste 101
Papillion, NE 68046
Phone (402) 991-9060

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1134522808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 S 73RD PLZ STE 101",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461507",
            "telephone_number": "402-991-9060",
            "fax_number": "402-991-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 APPLEWOOD DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465763",
            "telephone_number": "402-502-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT TURN LANE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "PETE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-991-9060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NA1991",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care of Papillion South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.