NPIMap

Organization Active NPI

Bellevue Medical Center LLC

Doing business as Bellevue Medical Center - Nebraska Medicine

  • General Acute Care Hospital
  • Bellevue, NE
National Provider Identifier
1609007525
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BELLEVUE MEDICAL CENTER LLC
Doing business as
Bellevue Medical Center - Nebraska Medicine
Practice address
2500 Bellevue Medical Center Dr
Bellevue, NE 68123-1591
Phone
(402) 552-2040
NPI assigned
Jul 28, 2009
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Ms. Stephanie Daubert
Title
Cfo
Phone
(402) 552-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NE Primary

Addresses

Primary practice location

2500 Bellevue Medical Center Dr
Bellevue, NE 68123-1591

Mailing address

2500 Bellevue Medical Center Dr
Bellevue, NE 68123-1591
Phone (402) 552-2040

Other names 1

  • Bellevue Medical Center - Nebraska Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100104000733 NE Part A Provider - Hospital 2961543541 Practice locations: Bellevue, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609007525. Details of each certification follow.

Hospital certification: CCN 280132

Legal name
BELLEVUE MEDICAL CENTER LLC
Doing business as
BELLEVUE MEDICAL CENTER - NEBRASKA MEDICINE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 18, 2010
Last certification
Jun 18, 2010
Beds
91
Ownership / control type
Private (for profit)
Organization structure
LLCNon-profit
Enrollment address
2500 Bellevue Medical Center Dr
Bellevue, NE 68123-1591
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Bellevue Medical CenterCCN 280132 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
28D2002078Bellevue Medical Center Laboratory2500 Bellevue Medical Center Drive, Bellevue, NE 68123AccreditationApr 11, 2027
28D2002137Bellevue Medical Center Laboratory2500 Bellevue Medical Center Drive, Bellevue, NE 68123Provider-performed microscopyJan 6, 2028

National Provider Directory

National Provider Directory

Member of 3

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Kelly Vaughn Individual Corporate DirectorChief Nursing Officer Mar 11, 2024
Jeffrey P Gold Individual Corporate OfficerSecretary Jan 22, 2026
Nebraska Medical Center Organization, Omaha, NE Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Limited Partnership Interest Nov 6, 2009 100%
Herbert O Davies Individual Corporate Director Jul 1, 2024
Jana Danielson Individual W-2 Managing Employee Jan 1, 2018
Stephanie Daubert Individual Corporate Officer Jan 1, 2014
William M. Lydiatt Individual Corporate DirectorBoard Member Jan 22, 2026
David Wayne Mercer Individual Corporate Director Oct 1, 2018
Stephanie Moline Individual Corporate DirectorBoard Member Jan 22, 2026
Bradley E Britigan Individual Corporate DirectorBoard Member Jul 1, 2016
Thomas Scott Diesing Individual Corporate DirectorMedical Staff President Jan 1, 2026
W-2 Managing EmployeeMD; Jan 1, 2026
Kristina Marie Kiviniemi Individual W-2 Managing EmployeeDelegated Official Jul 1, 2025

Owners & managing parties with NPI records 11

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

Affiliated clinicians 872

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

View all 872

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1609007525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BELLEVUE MEDICAL CENTER DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231591",
            "telephone_number": "402-552-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLEVUE MEDICAL CENTER DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231591",
            "telephone_number": "402-552-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "DAUBERT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-552-2889",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Medical Center - Nebraska Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellevue Medical Center - Nebraska Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.