Individual provider Active NPI

Lynnette A Moseman, MD

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1386662278
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18287 Issued in NE
Practice address
14450 Eagle Run Dr
Suite 104
Omaha, NE 68116-1493
Phone
(402) 498-0380
Fax
(402) 498-0355
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18287 NE Primary

Addresses

Primary practice location

14450 Eagle Run Dr
Suite 104
Omaha, NE 68116-1493

Mailing address

PO Box 642117
Omaha, NE 68164-8117

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000224 NE Practitioner - Family Practice 5395826960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Emergicare, P.C.Group PAC ID 4385613041, 4 clinicians
Joshua Medical Centers LLCGroup PAC ID 9234301227, 5 clinicians

Practice addresses (Care Compare)

2419 M St
Omaha, NE 68107-2715
Phone (402) 933-9582

2429 M St
Omaha, NE 68107-2715
Phone (402) 731-7333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18287NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Family Medicine CurrentSince Apr 1, 2009 Accepting new patients
Joshua Medical Centers LLC Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Heartland Emergicare, P.C. CurrentSince Oct 1, 2025 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
Midwest Family Physicians. PC Family Medicine Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

2419 M St
Omaha, NE 68107
Phone (402) 731-7333

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

2429 M St
Omaha, NE 68107
Phone (402) 731-7333

Interoperability endpoints

  • Direct secure messaging: lynnette.moseman.1@25093.direct.athenahealth.com
  • Direct secure messaging: lmoseman8487@achce.catholichealth.net

Organizations & group practices 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1386662278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 EAGLE RUN DR",
            "address_2": "SUITE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681161493",
            "telephone_number": "402-498-0380",
            "fax_number": "402-498-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSEMAN",
        "first_name": "LYNNETTE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "18287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.