NPIMap

Organization Active NPI

55TH Medgrp-Offutt

  • Military Hospital
  • Offutt AFB, NE
National Provider Identifier
1316919160
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
Legal business name
55TH MEDGRP-OFFUTT
Practice address
2501 Capehart Rd
Ste 105
Offutt a F B, NE 68113-1043
Phone
(402) 294-9215
Fax
(402) 294-7463
NPI assigned
Feb 6, 2006
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
55TH MEDGRP-OFFUTTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Jen Lewandowski
Title
Defense Health Agency (Dha) Financi
Phone
(703) 817-4030

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101X NU
Military Hospital 286500000X NU Primary
Military/U.S. Coast Guard Pharmacy 332000000X NU

Addresses

Primary practice location

2501 Capehart Rd
Ste 105
Offutt a F B, NE 68113-1043

Mailing address

2501 Capehart Rd
Ste 105
Offutt a F B, NE 68113-1043
Phone (402) 294-9215

Other identifiers 1

IdentifierTypeStateIssuer
2815706OtherNENCPDP

Other names 1

  • 55th Medical Group Other name

National Provider Directory

National Provider Directory
Tax ID family
55TH Medgrp-Offutt2 organizations share this tax ID, including this one
Part of
55TH Medgrp-Offutt

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2501 Capehart Rd
Ste 105
Offutt AFB, NE 68113
Phone (402) 294-9215

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1316919160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CAPEHART RD",
            "address_2": "STE 105",
            "city": "OFFUTT A F B",
            "state": "NE",
            "postal_code": "681131043",
            "telephone_number": "402-294-9215",
            "fax_number": "402-294-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CAPEHART RD",
            "address_2": "STE 105",
            "city": "OFFUTT A F B",
            "state": "NE",
            "postal_code": "681131043",
            "telephone_number": "402-294-9215",
            "fax_number": "402-294-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "55TH MEDGRP-OFFUTT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "55TH MEDGRP-OFFUTT",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DEFENSE HEALTH AGENCY (DHA) FINANCI",
        "authorized_official_telephone_number": "703-817-4030"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2815706",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "55th Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Offutt AFB, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.