Organization Active NPI

Bluestem Health

  • Federally Qualified Health Center (FQHC)
  • Lincoln, NE
National Provider Identifier
1558720326
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BLUESTEM HEALTH
Doing business as
Bluestem Health 360
Bluestem Health Pediatrics
Practice address
2301 O St
Suite 2
Lincoln, NE 68510-1124
Phone
(402) 476-1455
Fax
(402) 476-1655
NPI assigned
Feb 22, 2016
Organization subpart
Yes
Parent organization
BLUESTEM HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Brad Lee Meyer
Title
Ceo
Phone
(402) 470-5424

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2301 O St
Suite 2
Lincoln, NE 68510-1124

Mailing address

1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455

Other identifiers 3

IdentifierTypeStateIssuer
10029301809MedicaidNE
10026494202MedicaidNE
10026494201MedicaidNE

Other names 2

  • Bluestem Health 360 Doing business as
  • Bluestem Health Pediatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040219000213 NE Part B Supplier - Clinic/Group Practice 6800706672 Receives reassigned benefits from 31 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, NE
O20160308001054 NE Part A Provider - Federally Qualified Health Center (FQHC) 6800706672 Practice locations: Lincoln, NE

Federally qualified health center certification: CCN 281839

Legal name
BLUESTEM HEALTH
Doing business as
BLUESTEM HEALTH PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 2016
Last certification
Mar 1, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2301 O St
Ste 2
Lincoln, NE 68510-1100

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
28D2088009Health 3602301 O Street, Ste 2, Lincoln, NE 68510Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
Bluestem Health2 organizations share this tax ID, including this one
Part of
Bluestem Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jacque Fanning Individual Corporate OfficerCfo Sep 6, 2016
W-2 Managing EmployeeCfo Sep 6, 2016
Brad Meyer Individual Corporate OfficerChief Executive Officer Sep 15, 2014
W-2 Managing EmployeeCeo Sep 15, 2014
Operational/Managerial ControlCeo Sep 15, 2014

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1558720326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031803",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 O ST",
            "address_2": "SUITE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101124",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTEM HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUESTEM HEALTH",
        "enumeration_date": "2016-02-22",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-470-5424"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029301809",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026494202",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026494201",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluestem Health 360",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluestem Health Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.