Organization Active NPI

Andrea N Steele-Baumann OD LLC

  • Optometrist
  • Fairbury, NE
National Provider Identifier
1174295935
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANDREA N STEELE-BAUMANN OD LLC
Practice address
523 E St
Fairbury, NE 68352-2323
Phone
(402) 729-6162
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ANDREA N STEELE-BAUMANN OD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Andrea Steele-Baumann, ODNPI 1366604027
Title
Owner
Phone
(402) 729-6162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

523 E St
Fairbury, NE 68352-2323

Mailing address

523 E St
Fairbury, NE 68352-2323
Phone (402) 729-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171219002824 NE Part B Supplier - Clinic/Group Practice 2163780289 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairbury, NE; Hebron, NE
O20221212003057 NE DME Supplier - Physician - Optometrist 2163780289 Practice locations: Fairbury, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Grandview Eyecare523 E St, Fairbury, NE 68352-2323(402) 729-6162 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
Andrea N Steele-Baumann OD LLC2 organizations share this tax ID, including this one
Part of
Andrea N Steele-Baumann OD LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 4th St
Deshler, NE 68340
Phone (402) 365-4545

523 E St
Fairbury, NE 68352
Phone (402) 729-6162

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1174295935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683522323",
            "telephone_number": "402-729-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683522323",
            "telephone_number": "402-729-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA N STEELE-BAUMANN OD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDREA N STEELE-BAUMANN OD LLC",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "STEELE-BAUMANN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-729-6162",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.