Individual provider Active NPI

Michelle N Lingenfelter, NP

  • Pediatric Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1275510232
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
110528 Issued in NE
Practice address
3901 Pine Lake Rd Ste 210
Lincoln, NE 68516-5497
Phone
(402) 465-5600
Fax
(402) 327-6074
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 110528 NE Primary

Addresses

Primary practice location

3901 Pine Lake Rd Ste 210
Lincoln, NE 68516-5497

Mailing address

8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600

Other identifiers 4

IdentifierTypeStateIssuer
47079049100MedicaidNE
10026369300MedicaidNE
10025151600MedicaidNE
47079049112MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813002020 NE Practitioner - Nurse Practitioner 8820596398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30725 US Hwy N
Palm Harbor, FL 34684

5930 S 58TH St
Suite W
Lincoln, NE 68516-3653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milkworks a Nebraska Nonprofit Corporation CurrentSince Jun 8, 2025 Accepting new patients
Milkworks a Nebraska Nonprofit Corporation Pediatrics PastSince Jun 8, 2025 Accepting new patients

Locations

5930 S 58th St
Ste W
Lincoln, NE 68516
Phone (402) 423-6402

10818 Elm St
Omaha, NE 68144
Phone (402) 502-0617

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1275510232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 NORTHWOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053092",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 210",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGENFELTER",
        "first_name": "MICHELLE",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "110528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079049100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026369300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025151600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079049112",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.