Active NPI
Maggie Nicole Goltz, PA-C
- Physician Assistant
- Lincoln, NE
National Provider Identifier
1568155257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2930
- Practice address
- 1001 S 70TH St Ste 100
Lincoln, NE 68510-7901 - Phone
- (402) 441-4760
- Fax
- (402) 441-4764
- NPI assigned
- May 30, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2930 | NE | Primary |
Addresses
Primary practice location
1001 S 70TH St Ste 100
Lincoln, NE 68510-7901
Mailing address
1001 S 70TH St Ste 100
Lincoln, NE 68510-7901
Phone (402) 441-4760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2930 | Other | NE | STATE LICENSE |
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S 70TH St
Suite 100
Lincoln, NE 68510-7901
Phone (402) 441-4760
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.3 of 100
- Quality
- 81.74
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 66.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2930 | NE | MD | Physician Assistant |
Interoperability endpoints
- maggiegoltz@sapc.allscriptsdirect.net
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.
-
- Surgery Physician
- Lincoln, NE
- NPI 1801831268
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": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1568155257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S 70TH ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685107901",
"telephone_number": "402-441-4760",
"fax_number": "402-441-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S 70TH ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685107901",
"telephone_number": "402-441-4760",
"fax_number": "402-441-4764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLTZ",
"first_name": "MAGGIE",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2930",
"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 May 30, 2023; 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.