Individual provider Active NPI

Erin Simanic, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1326594045
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
112095 Issued in NE
Practice address
2301 O St
Ste 2
Lincoln, NE 68510-1124
Phone
(402) 441-6642
Fax
(402) 476-1670
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 112095 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112095 NE Primary

Addresses

Primary practice location

2301 O St
Ste 2
Lincoln, NE 68510-1124

Mailing address

1120 Scenic LN
Lincoln, NE 68505-2163
Phone (402) 613-0111

Other practice location 1

9100 Andermatt Dr Ste 1
Lincoln, NE 68526-6700
Phone (402) 434-2730

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
I20161017000510 NE Practitioner - Nurse Practitioner 9537457098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lutheran Family Services of NE IncGroup PAC ID 2163324773, 17 clinicians

Practice addresses (Care Compare)

124 S 24TH St
Omaha, NE 68102-1226

650 J St
Suite 201
Lincoln, NE 68508-2979
Phone (402) 205-7380

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Family Medicine CurrentSince Oct 30, 2020 Accepting new patients
Erin N. Simanic Pmhnp, LLC CurrentSince Jan 15, 2021 Accepting new patients
Pine Lake Behavioral Health, LLC. CurrentSince Jun 1, 2020 Accepting new patients

Locations

1021 N 27th St
Lincoln, NE 68503
Phone (402) 476-1640

9100 Andermatt Dr
Ste 1
Lincoln, NE 68526
Phone (402) 227-8157

650 J St
Ste 201
Lincoln, NE 68508
Phone (402) 205-7380

124 S 24th St
Ste 230
Omaha, NE 68102
Phone (402) 591-5078

7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1326594045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SCENIC LN",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052163",
            "telephone_number": "402-613-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 O ST",
            "address_2": "STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101124",
            "telephone_number": "402-441-6642",
            "fax_number": "402-476-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Andermatt Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685266700",
            "country_code": "US",
            "telephone_number": "402-434-2730",
            "fax_number": "402-434-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMANIC",
        "first_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "112095",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "112095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.