Individual provider Active NPI

Katrina Dannewitz, APRN-NP

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1649412776
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111009 Issued in NE
Practice address
6900 Van Dorn St Ste 24
Lincoln, NE 68506-2882
Phone
(402) 489-3200
NPI assigned
Apr 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111009 NE Primary

Addresses

Primary practice location

6900 Van Dorn St Ste 24
Lincoln, NE 68506-2882

Mailing address

4424 S 86TH St
Lincoln, NE 68526-9225
Phone (402) 483-2987

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
I20090414000533 NE Practitioner - Nurse Practitioner 2365599172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lincoln Family Physicians PCGroup PAC ID 7214911270, 15 clinicians

Practice addresses (Care Compare)

4424 S 86TH St
Lincoln, NE 68526-9225
Phone (402) 483-2987

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Family Physicians, PC CurrentSince Sep 1, 2020 Accepting new patients
South Lincoln Family Physicians, PC PastSince Sep 1, 2020 Accepting new patients

Locations

3201 Pioneers Blvd
Ste 304
Lincoln, NE 68502
Phone (402) 483-2987

4424 S 86th St
Lincoln, NE 68526
Phone (402) 483-2987

4130 Pioneer Woods Dr
Ste 2
Lincoln, NE 68506
Phone (402) 483-2987

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1649412776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 S 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269225",
            "telephone_number": "402-483-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 VAN DORN ST STE 24",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062882",
            "telephone_number": "402-489-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEWITZ",
        "first_name": "KATRINA",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.