Active NPI
Scott Wilson, MD
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1194733451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21493
- Practice address
- 4501 S 70TH St
Ste 130
Lincoln, NE 68516-4282 - Phone
- (402) 484-5100
- Fax
- (402) 484-5151
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21493 | NE | Primary |
Addresses
Primary practice location
4501 S 70TH St
Ste 130
Lincoln, NE 68516-4282
Mailing address
8055 O St
Ste 300
Lincoln, NE 68510-2580
Phone (402) 421-0896
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-03335 | Other | NE | UHC |
| 470780857 12 | Medicaid | NE | |
| 24376 | Other | NE | MIDLAND'S CHOICE |
| 00286 | Other | NE | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050727000142 | NE | Practitioner - Family Practice | 9032147541 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Lincoln Family Physicians PC
Practice addresses (Care Compare)
4424 S 86TH St
Lincoln, NE 68526-9225
Phone (402) 483-2987
Hospital & facility affiliations
- Hillcrest Home Care
- The Nebraska Medical Center
- Bryan Medical Center
- CHI Health St. Elizabeth
- Madonna Rehabilitation Hospital Lincoln
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lincoln Family Physicians, PC | Family Medicine | Current | Accepting new patients |
| Crete Area Medical Center | Family Medicine | Past | Accepting new patients |
| Lincoln Physician Network LLC | Past | Accepting new patients | |
| South Lincoln Family Physicians, PC | Family Medicine | Past | Accepting new patients |
Locations
4130 Pioneer Woods Dr
Ste 2
Lincoln, NE 68506
Phone (402) 483-2987
3201 Pioneers Blvd
Ste 304
Lincoln, NE 68502
Phone (402) 483-2987
4424 S 86th St
Lincoln, NE 68526
Phone (402) 483-2987
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1144337643
Family Medicine, NE
-
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1902116833
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1124548540
Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bellevue, NE
- NPI 1588792022
-
- Rehabilitation Hospital
- Lincoln, NE
- NPI 1558458091
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
Hospital
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": "1203984000000",
"number": "1194733451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102580",
"telephone_number": "402-421-0896",
"fax_number": "402-421-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 S 70TH ST",
"address_2": "STE 130",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164282",
"telephone_number": "402-484-5100",
"fax_number": "402-484-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "21493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "01-03335",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470780857 12",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "24376",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00286",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.
- 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.