Individual provider Active NPI

Heidi Hansen

  • Vascular Surgery Physician
  • Lincoln, NE
National Provider Identifier
1184052458
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
30726 Issued in NE
Practice address
7440 S 91St St
Lincoln, NE 68526-9797
Phone
(402) 486-8000
NPI assigned
Oct 24, 2013
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 30726 NE Primary

Addresses

Primary practice location

7440 S 91St St
Lincoln, NE 68526-9797

Mailing address

7440 S 91St St
Lincoln, NE 68526-9797
Phone (402) 486-8000

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180820001440 NE Practitioner - Vascular Surgery 8729371471 Reassigns benefits to 3 organizations
I20181109001474 KS Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 8729371471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
St Marys Community HospitalGroup PAC ID 7113831926, 27 clinicians

Practice addresses (Care Compare)

Smith Center, KS 66967
Phone (785) 282-6845

102 McNeel LN
Suite 1
North Platte, NE 69101-6299
Phone (308) 532-5522

104 W 17TH St
Schuyler, NE 68661-1304
Phone (402) 352-2441

1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421

120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041

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

1406 Q St
Franklin, NE 68939-1073
Phone (308) 425-6221

1423 7TH St
Aurora, NE 68818-1141
Phone (402) 694-3171

145 Memorial Dr
Broken Bow, NE 68822-1378
Phone (308) 872-4100

202 High St
Tecumseh, NE 68450-2443
Phone (402) 335-3361

2022 13TH St
Auburn, NE 68305-1701
Phone (402) 274-6150

2222 N Lincoln Ave
York General Hospital
York, NE 68467-1030
Phone (402) 362-6671

300 N Columbia Ave
Memorial Health Care Systems
Seward, NE 68434-2228
Phone (402) 643-2228

3515 Richmond Cir
Grand Island, NE 68803-4965
Phone (308) 381-8636

555 S 70TH St
St Elizabeth Regional Med Center
Lincoln, NE 68510-2462
Phone (402) 219-8000

7440 S 91St St
Lincoln, NE 68526-9797

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.26 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
70.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)16
Removal of tissue100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30726NEMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
St. Mary's Community Hospital Multi-Specialty CurrentSince Feb 6, 2024 Accepting new patients
St. Mary's Community Hospital CurrentSince Feb 6, 2024 Accepting new patients
The Physician Network Multi-Specialty PastSince Sep 1, 2011 Accepting new patients
Nebraska Heart Hospital Multi-Specialty Past Accepting new patients

Locations

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

614 S Main St
Smith Center, KS 66967
Phone (785) 282-6845

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

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

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1184052458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 S 91ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269797",
            "telephone_number": "402-486-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 S 91ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269797",
            "telephone_number": "402-486-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "HEIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NE",
            "license": "30726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.