Hospice of Nebraska LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF NEBRASKA LLC

Practice address

5640 S 84TH St
Lincoln, NE 68516-4471

Phone

(402) 875-5098

Fax

(402) 875-5093

NPI assigned

Jul 15, 2024

Last updated

Mar 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Wik

Title

Chairman of the Board

Phone

(312) 498-3541

Specialties & licenses 1

Addresses

Other names 1

• Hospice of Nebraska Other name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497592539. Details of each certification follow.

• CCN 281559 Hospice · Active · Details

Hospice certification: CCN 281559

Legal name

HOSPICE OF NEBRASKA LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 12, 2025

Last certification

Mar 6, 2025

Organization structure

LLCProprietary

Incorporated

May 31, 2024 in DE

Enrollment address

2200 S 40TH St
Ste 101
Lincoln, NE 68506-2424

Listed as

Hospice of Nebraska, LLCCCN 281559 · All quality measures

Certified

Mar 12, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Town Square Hospice Illinois LLC

  • Community Based Hospice Care Agency
  • Monticello, IL
  • NPI 1063266716

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Douglas Robert Fiedler, MD

  • Pulmonary Disease Physician
  • Lincoln, NE
  • NPI 1215976147

  5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership
• Ali Jane Piper, M.D.

  • Pulmonary Disease Physician
  • Lincoln, NE
  • NPI 1396009031

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Practitioners 4

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.

• Douglas Robert Fiedler, MD

  • Pulmonary Disease Physician
  • Lincoln, NE
  • NPI 1215976147
  NPD
• Gretchen Jolliffe

  • Adult Companion
  • Lincoln, NE
  • NPI 1740089465
  NPD
• Ali Jane Piper, M.D.

  • Pulmonary Disease Physician
  • Lincoln, NE
  • NPI 1396009031
  NPD
• Andrea J Zurcher, APRN

  • Nurse Practitioner
  • Lincoln, NE
  • NPI 1306398375
  NPD

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Adam Scott Brank, M.D.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1033208087

  Hospice

  Care Compare affiliation
• Douglas Robert Fiedler, MD

  • Pulmonary Disease Physician
  • Lincoln, NE
  • NPI 1215976147

  Hospice

  Care Compare affiliation
• Cynthe M Oliver-Dumler, APRN

  • Adult Health Nurse Practitioner
  • Bellevue, NE
  • NPI 1265756332

  Hospice

  Care Compare affiliation
• Ali Jane Piper, M.D.

  • Pulmonary Disease Physician
  • Lincoln, NE
  • NPI 1396009031

  Hospice

  Care Compare affiliation
• Arif A Sattar, M.D.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1043253222

  Hospice

  Care Compare affiliation
• Jamie R Staab-Peters, APRN

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1740504810

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1497592539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 S 84TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164471",
            "telephone_number": "402-875-5098",
            "fax_number": "402-875-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 S 84TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164471",
            "telephone_number": "402-875-5098",
            "fax_number": "402-875-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NEBRASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "WIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "312-498-3541"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Nebraska",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hospice of Nebraska",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Hosier-Quinn
• Sathina A Hoskin
• Lori Hoskins
• Hospice Community Care of Nebraska, LLC
• Hospice Community Care of Nebraska, LLC
• Hospice Preferred Choice, Inc. (AseraCare Hospice)
• Theresa Hospodka
• Eden Hosteter
• Alicia Hostetler
• Denise Wynn Hostetler

• Community Based Hospice Care Agency in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Community Based Hospice Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.