Active NPI
Chanda Lynn Nunnenkamp, FNP-C
- Family Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113156
- Practice address
- 2510 S 40TH St Ste 100
Lincoln, NE 68506-2408 - Phone
- (420) 483-6000
- Fax
- (402) 483-6106
- NPI assigned
- Jun 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113156 | NE | Primary |
Addresses
Primary practice location
2510 S 40TH St Ste 100
Lincoln, NE 68506-2408
Mailing address
2510 S 40TH St Ste 100
Lincoln, NE 68506-2408
Phone (402) 483-6000
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16909 Lakeside Hills CT
Omaha, NE 68130-4661
2510 S 40TH St
100 CHI Health Clinic
Lincoln, NE 68506-2408
Phone (402) 483-6000
555 S 70TH St
CHI Health St. Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-8000
Hospital & facility affiliations
- CHI Health St. Elizabeth
- Bryan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113156 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Ageless Men'S Health Series II NE LLC | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
2510 S 40th St
Ste 100
Lincoln, NE 68506
Phone (402) 483-6000
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
Organizations & group practices 3
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
- Omaha, NE
- NPI 1548287907
-
- Adult Medicine Physician
- Lincoln, NE
- NPI 1699396150
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1235755182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 S 40TH ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062408",
"telephone_number": "402-483-6000",
"fax_number": "402-483-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 S 40TH ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062408",
"telephone_number": "420-483-6000",
"fax_number": "402-483-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNENKAMP",
"first_name": "CHANDA",
"middle_name": "LYNN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "113156",
"primary": true
}
],
"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 Jun 10, 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.
- 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.