Crete Area Medical Center
Organization Active NPI Family Medicine Physician · Crete, NE
NPI 1245281138 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1245281138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CRETE AREA MEDICAL CENTER
- Practice address
- 2910 Betten Dr
Crete, NE 68333-3084 - Phone
- (402) 826-2102
- Fax
- (402) 826-7950
- NPI assigned
- May 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CRETE AREA MEDICAL CENTER
Authorized official
- Name
- Julie Lacy
- Title
- President & Ceo
- Phone
- (402) 826-2102
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 5
Practitioners 49
-
Kelsey Lynn Baxa, NP
-
Abby Cole, PA-C
-
Russell J Ebke, M.D.
-
Michael Allen Greene, M.D.
-
Kate Elizabeth Hesser, M.D.
-
Jill M Hobelman, PA-C
-
Laura Caroline Kersten, LADC, LIMHP
-
Libby Lewandowski, MSN, APRN FNP-C
-
Logan McGuffey, MD
-
Kimberly Sue McMillan, P.A.-C
-
Jason L Peterson, APRN
-
Suree Michelle Schilz, PA-C
-
Tammy M. Schroeder, APRN
-
Abigail Marie Sheets, DNP, FNP-C
-
Lynne E Ward, APRN
-
Nicole Ann Wilford, APRN
-
Cason Terryl Bock, PA C
-
Matthew Gatlin, PA-C
-
Jenna A Hilker, ARNP
-
Tracy Holsing, CRNA
-
Angela Marie Ling, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318000243 | NE | Part B Supplier - Clinic/Group Practice | 4385556216 |
Receives reassigned benefits from 39 practitioners Practice locations: Crete, NE |
National Provider Directory
- Part of
- Crete Area Medical Cent
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | |||
| Diabetes Educator Registered Nurse |
163WD0400X | |||
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Primary Care Nurse Practitioner |
363LP2300X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
2910 Betten Dr
Crete, NE 68333-3084
Mailing address
PO Box 860873
Minneapolis, MN 55486-0873
Phone (402) 826-2102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35536 | Other | NE | BCBS OF NEBRASKA |
| 08802 | Other | NE | BCBS OF NEBRASKA |
| 81078 | Other | NE | BCBS OF NEBRASKA |
| CJ5613 | Other | NE | RAILROAD MEDICARE |
| 38175 | Other | NE | BCBS OF NEBRASKA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@hisp.bryanhealth.org |
Other providers in Crete, NE
- McKenzie Cramer
- Marjorie G Crespin Orantes
- Hazel Crespin
- Crete Area Mecical Center LTC
- Crete Area Medical Center
- Crete Area Medical Center
- Crete Area Medical Center
- Crete Family Dental, LLC
- Crete Family Eyecare PC
- Crete Physical Therapy, LLC
All providers in Crete, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.