Individual provider Active NPI

Suzanne M. Vandenhul, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1174531495
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22281 Issued in NE
Practice address
4333 S 86TH St
Lincoln, NE 68526-9260
Phone
(402) 483-8500
Fax
(402) 483-8501
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 22281 NE Primary

Addresses

Primary practice location

4333 S 86TH St
Lincoln, NE 68526-9260

Mailing address

2222 S 16TH St
Suite 400a
Lincoln, NE 68502-3796
Phone (402) 483-8590

Other identifiers 6

IdentifierTypeStateIssuer
237614OtherMIDLANDS CHOICE
47078085732MedicaidNE
470780857 32MedicaidNE
01-03824OtherUHC
01-05357OtherNEUHC
00455OtherNEBCBS

Other names 1

  • Suzanne M. Smykacz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svandenhul10978@hisp.bryanhealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917001102 NE Practitioner - Family Practice 1658349600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

Hospital & facility affiliations

  • Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
  • CHI Health at Home - Lincoln Home health agency, Lincoln, NE, CCN 287050
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Madonna Rehabilitation Hospital Lincoln Inpatient rehabilitation facility, Lincoln, NE, CCN 283025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22281NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network Family Medicine CurrentSince May 26, 2016 Accepting new patients
Aletheia Integrative MC LLC Family Medicine CurrentSince Feb 6, 2025 Accepting new patients

Locations

4333 S 86th St
Ste 100
Lincoln, NE 68526
Phone (402) 483-8500

4424 S 86th St
Lincoln, NE 68526
Phone (402) 483-2987

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

5445 Red Rock Ln
Ste 300
Lincoln, NE 68516
Phone (531) 571-3871

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

4333 S 86th St
Lincoln, NE 68526
Phone (402) 483-8500

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1174531495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-483-8590",
            "fax_number": "402-483-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 S 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269260",
            "telephone_number": "402-483-8500",
            "fax_number": "402-483-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENHUL",
        "first_name": "SUZANNE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "237614",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078085732",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470780857 32",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "01-03824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "01-05357",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00455",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svandenhul10978@hisp.bryanhealth.org",
            "affiliation": "N",
            "address_1": "4333 S 86th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685269260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "SMYKACZ",
            "middle_name": "M.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.