Individual provider Active NPI

Delia Marie Gilbertsen, PA-C

  • General Practice Physician
  • Lincoln, NE
National Provider Identifier
1447712393
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2344 Issued in NE
Practice address
1336 W a St
Lincoln, NE 68522-1231
Phone
(402) 438-0101
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2344 NE Primary

Addresses

Primary practice location

1336 W a St
Lincoln, NE 68522-1231

Mailing address

1336 W a St
Lincoln, NE 68522-1231
Phone (402) 438-0101

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
I20220503001501 NE Practitioner - Physician Assistant 3072900406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coddington Medical Family Practice LLCGroup PAC ID 5991936841, 4 clinicians
Capital Medical Clinic LLPGroup PAC ID 5799925475, 7 clinicians

Practice addresses (Care Compare)

1336 W a St
Suite a
Lincoln, NE 68522-1231
Phone (402) 438-0101

4701 Normal Blvd
Lincoln, NE 68506-5563
Phone (402) 488-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2344NEMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: deliagilbertsen@cmfp.allscriptsdirect.net

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 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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1447712393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 W A ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221231",
            "telephone_number": "402-438-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 W A ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221231",
            "telephone_number": "402-438-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSEN",
        "first_name": "DELIA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "2344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.