Active NPI
Northrup & Associates PC
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1396189320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233 | Medicaid | NE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2059372 | Northrup & Associates PC | Provider-performed microscopy | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- drnorthrup@northrupmed.direct.cgm.us
- 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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1063570620
-
- Medical Physician Assistant
- Lincoln, NE
- NPI 1932748910
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
- Tiffany North
- Northeast Family Dental LLC
- Northeast Lincoln Family Dentistry LLC
- Northland Hearing Centers, Inc. (Nebraska Hearing)
- Northland Hearing Centers, Inc. (White's Advanced Hearing)
- Northrup Internal Medicine and Primary Care LLC
- Northstar Dental
- Allyson Gwendolyn Northup, MS LMHP, LMFT
- Northwoods Surgery Center LLC
- Rachel Lynn Norton
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.