Individual provider Active NPI

Traci Renee Kreifels, APRN

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1578057071
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
112473 Issued in NE
Practice address
5200 S 56TH St Ste 2
Lincoln, NE 68516-1891
Phone
(402) 421-6200
Fax
(402) 421-6070
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 112473 NE Primary

Addresses

Primary practice location

5200 S 56TH St Ste 2
Lincoln, NE 68516-1891

Mailing address

5200 S 56TH St Ste 2
Lincoln, NE 68516-1891
Phone (402) 421-6200

Other names 1

  • Traci Renee Neeman Former name

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
I20181109001567 NE Practitioner - Nurse Practitioner 5193079192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Family Physicians PCGroup PAC ID 5395816979, 3 clinicians

Practice addresses (Care Compare)

5200 S 56TH St
Suite 2
Lincoln, NE 68516-1899
Phone (402) 421-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Family Physicians PC Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Donald E. Burge, MD, PC Family Medicine Current Accepting new patients

Locations

5200 S 56th St
Ste 2
Lincoln, NE 68516
Phone (402) 421-6200

Interoperability endpoints

  • Direct secure messaging: traci.kreifels@1291.direct.myezyaccess.com

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 5

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1578057071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S 56TH ST STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161891",
            "telephone_number": "402-421-6200",
            "fax_number": "402-421-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S 56TH ST STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161891",
            "telephone_number": "402-421-6200",
            "fax_number": "402-421-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIFELS",
        "first_name": "TRACI",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "112473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "NEEMAN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.