Active NPI
Brenda F Vander Tuig, APRN
- Family Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 111313
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47075927913 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA, CO, MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerinet of Nebraska PC | Current | Accepting new patients | |
| Homaha Senior Care LLC | Current | Accepting new patients | |
| State of Nebraska Dept of Admin Services | Current | Accepting new patients | |
| State of Nebraska Dept of Admin Services | Current | Accepting new patients | |
| Value Based Long Term Care B PC | Current | Accepting new patients | |
| State of Nebraska Dept of Admin Services | Current | 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
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Omaha, NE
- NPI 1033616081
CO, IA, KS, MO
-
- General Practice Physician
- Omaha, NE
- NPI 1154002533
-
- Skilled Nursing Facility
- Kearney, NE
- NPI 1790706034
-
- Geriatric Medicine (Family Medicine) Physician
- Omaha, NE
- NPI 1366295479
KS, MO
-
- Intellectual Disabilities Intermediate Care Facility
- Beatrice, NE
- NPI 1114085826
-
- Skilled Nursing Facility
- Bellevue, NE
- NPI 1740387943
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1194498808
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.