Individual provider Active NPI

Andrew T Lundstrom, APRN-NP

  • Acute Care Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1154815140
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
112478 Issued in NE
Practice address
2300 S 16TH St
Lincoln, NE 68502-3704
Phone
(402) 481-8566
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 112478 NE Primary

Addresses

Primary practice location

2300 S 16TH St
Lincoln, NE 68502-3704

Mailing address

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 481-8566

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
I20180810002768 NE Practitioner - Nurse Practitioner 6608124318 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpatient Physician Associates, LLCGroup PAC ID 2365334364, 76 clinicians
Community Healthcare Partners NE LLCGroup PAC ID 7113323197, 28 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 475-1011

3901 Faulkner Dr
Lincoln, NE 68516-4738
Phone (402) 858-4044

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Medical Center CurrentSince Dec 5, 2024 Accepting new patients
Bryan Medical Center CurrentSince Dec 5, 2024 Accepting new patients
Bryan Hospital Kearney CurrentSince Apr 11, 2022 Accepting new patients
Teledigm Physician Services, LLC CurrentSince May 5, 2022 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Bryan Medical Center Current Accepting new patients
Box Butte General Hospital Current Accepting new patients
Health at Home Consultants LLC CurrentSince Nov 12, 2019 Accepting new patients
Box Butte General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Inpatient Physician Associates, LLC CurrentSince Jul 5, 2018 Accepting new patients
Community Healthcare Partners NE LLC CurrentSince Oct 23, 2024 Accepting new patients
Bryan Hospital Kearney CurrentSince Apr 11, 2022 Accepting new patients

Locations

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

2222 S 16th St
Ste 401A
Lincoln, NE 68502
Phone (402) 483-8744

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

5733 S 34th St
Ste 500
Lincoln, NE 68516
Phone (531) 350-6970

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

3901 Faulkner Dr
Lincoln, NE 68516
Phone (402) 464-2422

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDJECD

Organizations & group practices 13

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 13

Hospital & facility affiliations 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1154815140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-481-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-481-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDSTROM",
        "first_name": "ANDREW",
        "middle_name": "T",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "112478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.