NPIMap

Individual provider Active NPI

Angela Zavala, NP

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1295217735
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
112622 Issued in NE
Practice address
4130 Pioneer Woods Dr Ste 2
Lincoln, NE 68506-7552
Phone
(402) 483-2987
NPI assigned
Aug 31, 2018
Last updated
Aug 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 112622 NE Primary

Addresses

Primary practice location

4130 Pioneer Woods Dr Ste 2
Lincoln, NE 68506-7552

Mailing address

3201 Pioneers Blvd Ste 304
Lincoln, NE 68502-5963
Phone (402) 483-2987

Other practice location 1

3201 Pioneers Blvd Ste 304
Lincoln, NE 68502-5963
Phone (402) 483-2987

Other names 1

  • Angela Birkel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913000992 NE Practitioner - Nurse Practitioner 5193075091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lincoln Family Physicians PCGroup PAC ID 7214911270, 15 clinicians

Practice addresses (Care Compare)

4424 S 86TH St
Lincoln, NE 68526-9225
Phone (402) 483-2987

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Family Physicians, PC Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
South Lincoln Family Physicians, PC Family Medicine PastSince Sep 1, 2018 Accepting new patients

Locations

3201 Pioneers Blvd
Ste 304
Lincoln, NE 68502
Phone (402) 483-2987

4130 Pioneer Woods Dr
Ste 2
Lincoln, NE 68506
Phone (402) 483-2987

4424 S 86th St
Lincoln, NE 68526
Phone (402) 483-2987

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1295217735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD STE 304",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-483-2987",
            "fax_number": "402-483-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 PIONEER WOODS DR STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067552",
            "telephone_number": "402-483-2987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Pioneers Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685025963",
            "country_code": "US",
            "telephone_number": "402-483-2987",
            "fax_number": "402-483-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "112622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BIRKEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.