Active NPI
Stacie Noll Lackner, MD
- Pediatrics Physician
- Omaha, NE
National Provider Identifier
1629707062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 37102
- Practice address
- 982185 Nebraska Medical Ctr
Omaha, NE 68198-2185 - Phone
- (402) 559-5380
- NPI assigned
- Jun 9, 2022
- Last updated
- Jul 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 9309 | NE | |
| Pediatrics Physician | 208000000X | 37102 | NE | Primary |
Addresses
Primary practice location
982185 Nebraska Medical Ctr
Omaha, NE 68198-2185
Mailing address
982185 Nebraska Medical Ctr
Omaha, NE 68198-2185
Phone (402) 559-5380
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220809002448 | NE | Order and Referring Only - Pediatric Medicine | 6103208061 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37102 | NE | MD | Pediatrics Physician |
| 9309 | NE | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Medical Center | Past | Accepting new patients | |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients | |
| Alegent Creighton Health | Past | Accepting new patients |
Interoperability endpoints
- slackner75876@direct.chsomaha.org
Organizations & group practices 3
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.
-
dba CHI Health Lakeside
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
dba CHI Health Creighton University Medical Center-Bergan Mercy
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
- Children's Hospital
- Omaha, NE
- NPI 1164641312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1629707062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982185 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681982185",
"telephone_number": "402-559-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982185 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681982185",
"telephone_number": "402-559-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKNER",
"first_name": "STACIE",
"middle_name": "NOLL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NE",
"license": "9309",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "37102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.