Active NPI
Emily Lizalek, PA-C
- Physician Assistant
- Omaha, NE
National Provider Identifier
1184072498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2487
- Practice address
- 9850 Nicholas St Ste 100
Omaha, NE 68114-2191 - Phone
- (402) 343-1122
- NPI assigned
- May 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2487 | NV | |
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | 2487 | NE | Primary |
Addresses
Primary practice location
9850 Nicholas St Ste 100
Omaha, NE 68114-2191
Mailing address
9850 Nicholas St Ste 100
Omaha, NE 68114-2191
Phone (402) 343-1122
Other practice location 1
531 Broadway E Ste 10
Seattle, WA 98102-5023
Phone (844) 966-6777
Other practice location 2
6335 S East St
Indianapolis, IN 46227-7112
Phone (317) 783-7474
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2487 | NE | MD | Clinical Social Worker |
| 2487 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellevue Urgent Care LP | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Urgent Care Group LLC | Past | Accepting new patients | |
| Indiana Emergency Solutions LLC | Past | Accepting new patients |
Locations
1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701
Interoperability endpoints
- emily.lizalek@direct.nmhs.org
- evanasek169594@ecommunitydirect.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.
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1033544267
-
- Urgent Care Clinic/Center
- Bellevue, NE
- NPI 1487089611
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1922735406
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1295181022
-
- Urgent Care Clinic/Center
- Bennington, NE
- NPI 1033940879
-
- Urgent Care Clinic/Center
- Bellevue, NE
- NPI 1861632127
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1144528035
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1255691424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1184072498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 NICHOLAS ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142191",
"telephone_number": "402-343-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 NICHOLAS ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142191",
"telephone_number": "402-343-1122"
}
],
"practiceLocations": [
{
"address_1": "531 Broadway E Ste 10",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981025023",
"country_code": "US",
"telephone_number": "844-966-6777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6335 S East St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462277112",
"country_code": "US",
"telephone_number": "317-783-7474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIZALEK",
"first_name": "EMILY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "2487",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.