Active NPI
Lena Lilia Mininberg, MSN
- Women's Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1215676309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 12453
- Practice address
- 4910 S 30TH St FL 1
Omaha, NE 68107-1519 - Phone
- (402) 502-8859
- NPI assigned
- May 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 12453 | MN | Primary |
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
4910 S 30TH St FL 1
Omaha, NE 68107-1519
Mailing address
60 Hyslop Rd
Brookline, MA 02445-5725
Phone (617) 365-9977
Other practice location 1
671 Vandalia St
Saint Paul, MN 55114-1312
Phone (800) 230-7526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Yale University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
671 Vandalia St
Saint Paul, MN 55114-1312
Phone (651) 698-2406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneworld Community Health Centers, Inc. | Current | Accepting new patients | |
| Oneworld Community Health Centers, Inc. | Current | Accepting new patients | |
| Planned Parenthood Minnesota, North Dakota, South Dakota | Current | Accepting new patients | |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients |
Locations
671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674
4920 S 30th St
Ste 103
Omaha, NE 68107
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.
-
- Non-Surgical Family Planning Clinic/Center
- Saint Paul, MN
- NPI 1629057146
-
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1952330649
-
- Federally Qualified Health Center (FQHC)
- Omaha, NE
- NPI 1982553186
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1215676309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HYSLOP RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024455725",
"telephone_number": "617-365-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 S 30TH ST FL 1",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071519",
"telephone_number": "402-502-8859"
}
],
"practiceLocations": [
{
"address_1": "671 Vandalia St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551141312",
"country_code": "US",
"telephone_number": "800-230-7526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MININBERG",
"first_name": "LENA",
"middle_name": "LILIA",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2025-01-17",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "12453",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 17, 2025; 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.