Individual provider Active NPI

Brenda F Vander Tuig, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1366728198
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111313 Issued in NE
Practice address
3900 Pine Lake Rd
Ste 5
Lincoln, NE 68516-5489
Phone
(402) 413-6706
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111313 NE Primary

Addresses

Primary practice location

3900 Pine Lake Rd
Ste 5
Lincoln, NE 68516-5489

Mailing address

PO Box 67250
Lincoln, NE 68506-7250
Phone (402) 328-2907

Other identifiers 1

IdentifierTypeStateIssuer
47075927913MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, CO, MO, KS5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20111108000870 NE Practitioner - Nurse Practitioner 7012180912 Reassigns benefits to 4 organizations
I20201005000414 IA Practitioner - Nurse Practitioner 7012180912 Reassigns benefits to 1 organization
I20240124000419 CO Practitioner - Nurse Practitioner 7012180912 Reassigns benefits to 1 organization
I20240810000378 MO Practitioner - Nurse Practitioner 7012180912 Reassigns benefits to 2 organizations
I20240810000391 KS Practitioner - Nurse Practitioner 7012180912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homaha Senior Care LLCGroup PAC ID 0244593747, 4 clinicians

Practice addresses (Care Compare)

1000 E 68TH St
Kansas City, MO 64131-1304
Phone (402) 249-6136

1130 S Scott Blvd
Iowa City, IA 52240-2908
Phone (402) 249-6136

13208 Meredith Ave
Omaha, NE 68164-1711
Phone (402) 393-6500

1330 S 70TH St
Omaha, NE 68106-2256
Phone (402) 393-6500

13600 W 110TH Ter
Lenexa, KS 66215-4078
Phone (402) 249-6136

14325 Eagle Run Dr
Omaha, NE 68164-5435
Phone (402) 393-6500

1540 N 72ND St
Omaha, NE 68114-1924
Phone (402) 393-6500

19400 Elk Ridge Dr
Elkhorn, NE 68022-3074
Phone (402) 393-6500

4908 Cass St
Omaha, NE 68132-2913
Phone (402) 249-6136

930 28TH St
Boulder, CO 80303-2278
Phone (303) 939-0830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gerinet of Nebraska PC CurrentSince Jun 13, 2024 Accepting new patients
Homaha Senior Care LLC CurrentSince Nov 26, 2018 Accepting new patients
State of Nebraska Dept of Admin Services CurrentSince Oct 25, 2020 Accepting new patients
State of Nebraska Dept of Admin Services Current Accepting new patients
Value Based Long Term Care B PC CurrentSince Jun 1, 2025 Accepting new patients
State of Nebraska Dept of Admin Services CurrentSince Oct 25, 2020 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1130 S Scott Blvd
Iowa City, IA 52240
Phone (319) 339-7472

13600 W 110th Ter
Lenexa, KS 66215
Phone (913) 717-0071

1000 E 68th St
Kansas City, MO 64131
Phone (314) 397-4646

12505 Harrison Tull Dr
Bellevue, NE 68123
Phone (402) 471-1831

1540 N 72nd St
Omaha, NE 68114
Phone (402) 393-8693

14301 Fnb Pkwy
Ste 100
Omaha, NE 68154
Phone (402) 706-6894

Interoperability endpoints

  • Direct secure messaging: brenda.vander.tuig.1@19856.direct.athenahealth.com

Organizations & group practices 7

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1366728198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67250",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067250",
            "telephone_number": "402-328-2907",
            "fax_number": "888-965-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PINE LAKE RD",
            "address_2": "STE 5",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165489",
            "telephone_number": "402-413-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER TUIG",
        "first_name": "BRENDA",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075927913",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.