Organization Active NPI

Northrup & Associates PC

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1396189320
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHRUP & ASSOCIATES PC
Practice address
6041 Village Dr Ste 110
Lincoln, NE 68516-5774
Phone
(402) 484-5656
Fax
(402) 484-5741
NPI assigned
Apr 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Justin Michael Williams
Title
Practice Manager
Phone
(402) 484-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6041 Village Dr Ste 110
Lincoln, NE 68516-5774

Mailing address

6041 Village Dr Ste 110
Lincoln, NE 68516-5774
Phone (402) 484-5656

Other identifiers 1

IdentifierTypeStateIssuer
233MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drnothrup@northrupmed.direct.cgm.us Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130624000388 NE Part B Supplier - Clinic/Group Practice 0345489316 Receives reassigned benefits from 2 practitioners
Practice locations: Lincoln, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2059372Northrup & Associates PC6041 Village Dr, Ste 110, Lincoln, NE 68516Provider-performed microscopyJun 30, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: drnorthrup@northrupmed.direct.cgm.us
  • Direct secure messaging: mbeel@northrupmed.direct.cgm.us

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1396189320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 VILLAGE DR STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165774",
            "telephone_number": "402-484-5656",
            "fax_number": "402-484-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 VILLAGE DR STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165774",
            "telephone_number": "402-484-5656",
            "fax_number": "402-484-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHRUP & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-21",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "402-484-5656"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drnothrup@northrupmed.direct.cgm.us",
            "affiliation": "N",
            "endpointDescription": "CGM Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6041 Village Dr Ste 110",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685165774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 26, 2024; 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.