Individual provider Active NPI

Mary Cammack, APRN

  • Critical Care Medicine Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1629052154
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
110341 Issued in NE
Practice address
2222 S 16TH St
Suite 405
Lincoln, NE 68502-3796
Phone
(402) 474-3704
Fax
(402) 474-3748
NPI assigned
Nov 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 110341 NE Primary

Addresses

Primary practice location

2222 S 16TH St
Suite 405
Lincoln, NE 68502-3796

Mailing address

2222 S 16TH St
Suite 405
Lincoln, NE 68502-3796
Phone (402) 474-3704

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
I20031231000158 NE Practitioner - Nurse Practitioner 9931007606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beatrice Community Hospital and Health Center IncGroup PAC ID 1951208222, shared by 6 NPIs, 65 clinicians

Practice addresses (Care Compare)

4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone (402) 228-3344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beatrice Community Hospital & Health Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Beatrice Community Hospital & Health Center Inc CurrentSince Jun 11, 2011 Accepting new patients

Locations

4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629052154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 405",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-474-3704",
            "fax_number": "402-474-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 405",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-474-3704",
            "fax_number": "402-474-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMACK",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NE",
            "license": "110341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.