Individual provider Active NPI

William Jon Michael, M.D.

  • Psychiatry Physician
  • Lincoln, NE
National Provider Identifier
1427162882
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20497 Issued in NE
Practice address
2221 S 17TH St
Ste 202
Lincoln, NE 68502-3793
Phone
(402) 483-8555
Fax
(402) 483-8554
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20497 NE Primary

Addresses

Primary practice location

2221 S 17TH St
Ste 202
Lincoln, NE 68502-3793

Mailing address

2222 S 17TH St,
Ste 202
Lincoln, NE 68502-3793
Phone (402) 483-8555

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
I20081009000726 NE Practitioner - Psychiatry 2567530728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Nebraska College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network Psychiatry CurrentSince Jul 25, 2021 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients
Bryan Medical Center Past Accepting new patients
Bryan Medical Center Past Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

2221 S 17th St
Ste 202
Lincoln, NE 68502
Phone (402) 476-6626

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

2221 S 17th St
Ste 310
Lincoln, NE 68502
Phone (402) 483-8550

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1427162882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 17TH ST,",
            "address_2": "STE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023793",
            "telephone_number": "402-483-8555",
            "fax_number": "402-483-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 S 17TH ST",
            "address_2": "STE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023793",
            "telephone_number": "402-483-8555",
            "fax_number": "402-483-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "WILLIAM",
        "middle_name": "JON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "20497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.