Organization Active NPI

Nebraska Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lincoln, NE
National Provider Identifier
1215904131
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASC017 Issued in NE
Legal business name
NEBRASKA SURGERY CENTER LLC
Practice address
1730 S 70TH St
Lincoln, NE 68506-1613
Phone
(402) 484-6600
Fax
(402) 484-6610
NPI assigned
Mar 1, 2006
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Michelle Monhollon
Title
Cfo
Phone
(402) 484-9011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASC017 NE Primary
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

1730 S 70TH St
Lincoln, NE 68506-1613

Mailing address

1730 S 70TH St
Lincoln, NE 68506-1613
Phone (402) 484-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100204000822 NE Part B Supplier - Ambulatory Surgical Center 7113060757 Receives reassigned benefits from 4 practitioners
Practice locations: Lincoln, NE

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Nebraska Surgery Center LLCCCN 28C0001020
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0967248Nebraska Surgery Center1730 South 70TH Street, Lincoln, NE 68506Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1730 S 70th St
#D
Lincoln, NE 68506

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1215904131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061613",
            "telephone_number": "402-484-6600",
            "fax_number": "402-484-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061613",
            "telephone_number": "402-484-6600",
            "fax_number": "402-484-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "MONHOLLON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-484-9011"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "ASC017",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.