Active NPI
Jeffrey C Wienke Jr., DPM CWSP
- Foot & Ankle Surgery Podiatrist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 345
- Practice address
- 1150 N 83Rd St
Lincoln, NE 68505-2094 - Phone
- (402) 483-4485
- NPI assigned
- Jul 3, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 206 | SD | |
| Podiatrist | 213E00000X | 000820 | IA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 345 | NE | Primary |
Addresses
Primary practice location
1150 N 83Rd St
Lincoln, NE 68505-2094
Mailing address
1150 N 83Rd St
Lincoln, NE 68505-2094
Phone (402) 483-4485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-0836558 | Other | NE | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S 48TH St
Lincoln, NE 68506-1299
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
5055 A St
Lincoln, NE 68510-4970
Hospital & facility affiliations
- Bryan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 461 |
| Removal of nail tissue | 116 |
| Removal or shaving of skin growth | 28 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000820 | IA | MD | Podiatrist |
| 206 | SD | MD | Podiatrist |
| 345 | NE | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients | |
| Wagner Indian Health Service Health Center | Current | Accepting new patients | |
| Bryan Physician Network | Podiatrist | Past | Accepting new patients |
| Northwoods Surgery Center LLC | Past | Accepting new patients |
Locations
2300 S 16th St
Fl 7
Lincoln, NE 68502
Phone (402) 321-5398
5055 A St
Ste 400
Lincoln, NE 68510
Phone (402) 483-3890
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621
Interoperability endpoints
- jwienke15008@hisp.bryanhealth.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
-
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1083205512
Podiatrist
-
- Ambulatory Surgical Clinic/Center
- Lincoln, NE
- NPI 1972557635
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": "1246579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1629207261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N 83RD ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052094",
"telephone_number": "402-483-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 83RD ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052094",
"telephone_number": "402-483-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENKE",
"first_name": "JEFFREY",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM CWSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-03",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SD",
"license": "206",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IA",
"license": "000820",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NE",
"license": "345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "47-0836558",
"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 Aug 16, 2017; 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.