Active NPI
Todd Allen Sorensen, PA-C
- Surgical Physician Assistant
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 697
- Practice address
- 2222 S 16TH St Medical Tower B
Ste 305
Lincoln, NE 68502 - Phone
- (402) 488-3002
- Fax
- (402) 483-8787
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 697 | NE | Primary |
Addresses
Primary practice location
2222 S 16TH St Medical Tower B
Ste 305
Lincoln, NE 68502
Mailing address
2222 S 16TH St
Medical Tower B, Ste 305
Lincoln, NE 68502-3762
Phone (402) 488-3002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47061995513 | Medicaid | NE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
7501 S 27TH St
100 Bryan Urgent Care
Lincoln, NE 68512-4802
Phone (402) 481-6343
Hospital & facility affiliations
- Bryan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1447237284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 16TH ST",
"address_2": "MEDICAL TOWER B, STE 305",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023762",
"telephone_number": "402-488-3002",
"fax_number": "402-483-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 16TH ST MEDICAL TOWER B",
"address_2": "STE 305",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68502",
"telephone_number": "402-488-3002",
"fax_number": "402-483-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "TODD",
"middle_name": "ALLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NE",
"license": "697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47061995513",
"state": "NE"
}
],
"endpoints": [],
"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 Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.