Organization Active NPI

All Seasons Family Medicine LLC

  • Family Medicine Physician
  • Papillion, NE
National Provider Identifier
1508500216
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALL SEASONS FAMILY MEDICINE LLC
Practice address
754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498
Phone
(402) 201-2300
Fax
(402) 201-2307
NPI assigned
Apr 27, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Dr. Cindy Janssen, MDNPI 1396895397
Title
President
Phone
(402) 201-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498

Mailing address

754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498
Phone (402) 201-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220505000185 NE Part B Supplier - Clinic/Group Practice 3678960929 Receives reassigned benefits from 3 practitioners
Practice locations: Papillion, NE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2260017All Seasons Family Medicine754 Gold Coast Dr #105, Papillion, NE 68046Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory

Locations

754 Gold Coast Dr
Ste 105
Papillion, NE 68046
Phone (402) 201-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26040/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1508500216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 GOLD COAST DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464498",
            "telephone_number": "402-201-2300",
            "fax_number": "402-201-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 GOLD COAST DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464498",
            "telephone_number": "402-201-2300",
            "fax_number": "402-201-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SEASONS FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-201-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.