Individual provider Active NPI

Emily Lizalek, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1184072498
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2487 Issued in NE
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

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519000415 NE Practitioner - Physician Assistant 2567754427 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2487NEMDClinical Social Worker
2487NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: emily.lizalek@direct.nmhs.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.