Individual provider Active NPI

Sebastian Eugene Edwards, CRNA

  • Certified Registered Nurse Anesthetist
  • Lincoln, NE
National Provider Identifier
1376178970
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101577 Issued in NE
Practice address
2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796
Phone
(402) 489-4186
Fax
(402) 489-5279
NPI assigned
Mar 4, 2020
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101577 NE Primary

Addresses

Primary practice location

2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796

Mailing address

2900 S 70TH Street
Suite # 450
Lincoln, NE 68506-3796
Phone (402) 489-4186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200604000421 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810318540 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Medical Imaging LLCGroup PAC ID 0840265773, 38 clinicians

Practice addresses (Care Compare)

7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone (402) 484-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney CurrentSince Sep 2, 2022 Accepting new patients
Advanced Medical Imaging, LLC CurrentSince Sep 1, 2023 Accepting new patients
Bryan Hospital Kearney CurrentSince Sep 2, 2022 Accepting new patients
Gastroenterology Specialties, P.C. CurrentSince Jun 1, 2025 Accepting new patients
Lighthouse Anesthesia PC CurrentSince Mar 1, 2022 Accepting new patients
Lincoln Digestive Health Center LLC Past Accepting new patients
Star Anesthesia, PC PastSince Oct 11, 2020 Accepting new patients

Locations

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

4545 R St
Ste 100
Lincoln, NE 68503
Phone (402) 465-4545

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475

7555 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 261-1085

1730 S 70th St
Lincoln, NE 68506
Phone (402) 423-7774

Interoperability endpoints

  • FHIR API: https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1376178970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S 70TH STREET",
            "address_2": "SUITE # 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S 70TH STREET",
            "address_2": "SUITE # 450",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063796",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SEBASTIAN",
        "middle_name": "EUGENE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101577",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.