NPIMap

Individual provider Active NPI

Lance Wiebusch, MD

  • Urology Physician
  • Lincoln, NE
National Provider Identifier
1154442507
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25807 Issued in NE
Practice address
5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone
(402) 489-8888
Fax
(402) 421-1945
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25807 NE Primary

Addresses

Primary practice location

5500 Pine Lake Rd
Lincoln, NE 68516-3389

Mailing address

5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone (402) 489-8888

Other identifiers 2

IdentifierTypeStateIssuer
545167OtherNECOVENTRY HEALTH CARE
45237OtherNEBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lance.wiebusch.p1@direct.upc.nextgenshare.com Direct

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
I20100913000865 NE Practitioner - Urology 3678698750 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
Nebraska Urology PCGroup PAC ID 1951372937, 21 clinicians

Practice addresses (Care Compare)

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321

5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone (402) 489-8888

Hospital & facility affiliations

  • CHI Health St Mary'S Hospital, Nebraska City, NE, CCN 281342
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • Syracuse Area Health Hospital, Syracuse, NE, CCN 281309
  • Lincoln Surgical Hospital Hospital, Lincoln, NE, CCN 280127
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection26

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
Community Memorial Hospital District CurrentSince Jan 16, 2024 Accepting new patients
Nebraska Urology PC Urology CurrentSince Aug 9, 2010 Accepting new patients
Community Memorial Hospital District CurrentSince Jan 16, 2024 Accepting new patients
St. Mary'S Community Hospital Current Accepting new patients
Community Memorial Hospital District Current Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Apr 10, 2023 Accepting new patients
Community Memorial Hospital District Past Accepting new patients
The Physician Network PastSince Sep 1, 2011 Accepting new patients

Locations

5500 Pine Lake Rd
Lincoln, NE 68516
Phone (402) 489-8888

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

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

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lance.wiebusch.p1@direct.upc.nextgenshare.com

Organizations & group practices 9

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 7

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1154442507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163389",
            "telephone_number": "402-489-8888",
            "fax_number": "402-421-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163389",
            "telephone_number": "402-489-8888",
            "fax_number": "402-421-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBUSCH",
        "first_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "25807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "545167",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45237",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lance.wiebusch.p1@direct.upc.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5500 Pine Lake Rd",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685163389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.