Individual provider Active NPI

Stephanie Deanne Bollinger, CNP

  • Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1437678448
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113924 Issued in NE
Practice address
5901 N 27TH St Ste 101
Lincoln, NE 68521-4752
Phone
(402) 481-6343
Fax
(402) 483-8831
NPI assigned
Sep 12, 2017
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017032882 MO
Nurse Practitioner 363L00000X 113924 NE Primary

Addresses

Primary practice location

5901 N 27TH St Ste 101
Lincoln, NE 68521-4752

Mailing address

2222 S 16TH St Ste 400a
Lincoln, NE 68502-3785
Phone (402) 481-6343

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120002724 NE Practitioner - Nurse Practitioner 7517220445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
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)

7501 S 27TH St
100 Bryan Urgent Care
Lincoln, NE 68512-4802
Phone (402) 481-6343

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017032882MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince Jan 30, 2022 Accepting new patients
Bryan Medical Center PastSince Jan 30, 2022 Accepting new patients

Locations

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

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

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

7501 S 27th St
#100
Lincoln, NE 68512
Phone (402) 481-6313

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1437678448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST STE 400A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-481-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N 27TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214752",
            "telephone_number": "402-481-6343",
            "fax_number": "402-483-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "STEPHANIE",
        "middle_name": "DEANNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017032882",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.