Nebraska Urgent Care Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEBRASKA URGENT CARE CENTER, LLC

Practice address

4720 W Huntington Ave
Lincoln, NE 68524-1528

Phone

(402) 483-8610

NPI assigned

May 3, 2011

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Lusero

Title

Credentialing Coordinator

Phone

(402) 423-4218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lillie Lueke

  • Family Nurse Practitioner
  • Lincoln, NE
  • NPI 1831708817

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jessica Paige Engler, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1700567690
  Medicare reassignment Care Compare group
• Nicole Lynn Henn, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1518196369
  Medicare reassignment Care Compare group
• Carrie C Power, PA-C

  • Medical Physician Assistant
  • Lincoln, NE
  • NPI 1689613622
  Medicare reassignment NPD
• Clifford D. Korf, PA-C

  • Physician Assistant
  • Columbus, NE
  • NPI 1629144837
  Medicare reassignment
• Anne Marie Moore, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1023043395
  Medicare reassignment
• Marissa Claire Sjoberg, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1033601125
  Medicare reassignment

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1396037875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 W HUNTINGTON AVE STE J",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685241528",
            "telephone_number": "402-470-6055",
            "fax_number": "402-470-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 W HUNTINGTON AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685241528",
            "telephone_number": "402-483-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA URGENT CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "LUSERO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "402-423-4218"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nebraska Urology PC
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• Nebraska Weight Management Institute
• Nebraska Wesleyan University
• Jelena Nedic

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.