Organization Active NPI

Erin N. Simanic Pmhnp, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
National Provider Identifier
1629601422
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ERIN N. SIMANIC PMHNP, LLC
Practice address
650 J St Ste 201
Lincoln, NE 68508-2979
Phone
(402) 205-7380
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Erin N Simanic, NP-CNPI 1326594045
Title
Pmhnp
Phone
(402) 613-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

650 J St Ste 201
Lincoln, NE 68508-2979

Mailing address

650 J St Ste 201
Lincoln, NE 68508-2979
Phone (402) 205-7380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201000581 NE Part B Supplier - Clinic/Group Practice 6507282092 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

650 J St
Ste 201
Lincoln, NE 68508
Phone (402) 205-7380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1629601422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 J ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082979",
            "telephone_number": "402-205-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 J ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082979",
            "telephone_number": "402-205-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN N. SIMANIC PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "SIMANIC",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "402-613-0111",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.