NPIMap

Individual provider Active NPI

Todd W. Stuckey, M.D.

  • Family Medicine Physician
  • York, NE
National Provider Identifier
1154377810
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21168 Issued in NE
Practice address
2114 N Lincoln Ave
Suite a
York, NE 68467-1028
Phone
(402) 362-5555
Fax
(402) 362-7137
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 21168 NE Primary

Addresses

Primary practice location

2114 N Lincoln Ave
Suite a
York, NE 68467-1028

Mailing address

2114 N Lincoln Ave
Suite a
York, NE 68467-1028
Phone (402) 362-5555

Other identifiers 3

IdentifierTypeStateIssuer
47077294513MedicaidNE
21168OtherNESTATE LICENSE NUMBER
H13416OtherNEUPIN NUMBER

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
I20100322000845 NE Practitioner - Family PracticePractitioner - Emergency Medicine 7719915735 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Community Health Center Inc 24 clinicians
Community Memorial Hospital District 25 clinicians

Practice addresses (Care Compare)

2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351

2731 Healthcare Dr
Syracuse, NE 68446-7880
Phone (402) 269-2011

Hospital & facility affiliations

  • Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
  • Syracuse Area Health Hospital, Syracuse, NE, CCN 281309
  • Jefferson Community Health & Life Hospital, Fairbury, NE, CCN 281319
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Syracuse Area Health Nursing home, CCN 28Z309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital District Current Accepting new patients
Jefferson Community Health Center Inc Family Medicine CurrentSince Jul 10, 2025 Accepting new patients
Community Memorial Hospital District Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Community Memorial Hospital District Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Jefferson Community Health Center Inc Family Medicine CurrentSince Jul 10, 2025 Accepting new patients
Jefferson Community Health Center, Inc. Current Accepting new patients
York Quick Clinic CurrentSince May 1, 2021 Accepting new patients
Community Memorial Hospital District Family Medicine Past Accepting new patients

Locations

2200 H St
Fairbury, NE 68352
Phone (402) 729-3351

7121 Stephanie Ln
Ste 100
Lincoln, NE 68516
Phone (402) 420-3500

2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011

309 S 35th St
York, NE 68467
Phone (402) 362-5555

2114 N Lincoln Ave
Ste A
York, NE 68467
Phone (402) 362-5044

Interoperability endpoints

  • Direct secure messaging: toddstuckey@ynemcpc.allscriptsdirect.net

Organizations & group practices 16

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.

View all 16

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1154377810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671028",
            "telephone_number": "402-362-5555",
            "fax_number": "402-362-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE",
            "address_2": "SUITE A",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671028",
            "telephone_number": "402-362-5555",
            "fax_number": "402-362-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "TODD",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077294513",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "21168",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN NUMBER",
            "identifier": "H13416",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, NE

Sources for this page

Verify at the official NPI Registry.