Active NPI
Peter M Morin, M.D.
- Family Medicine Physician
- Lincoln, NE
National Provider Identifier
1669435343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18258
- Practice address
- 770 N Cotner Blvd
Sye 205
Lincoln, NE 68505-2310 - Phone
- (402) 467-4661
- Fax
- (402) 467-5006
- NPI assigned
- Apr 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18258 | NE | Primary |
Addresses
Primary practice location
770 N Cotner Blvd
Sye 205
Lincoln, NE 68505-2310
Mailing address
770 N Cotner Blvd Suite 205
Lincoln, NE 68505-2344
Phone (402) 467-4661
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47054632400 | Medicaid | NE | |
| 080028227 | Other | NE | RAILROAD MC ID |
| 18258 | Other | NE | NE STATE LICENSE |
| 00258 | Other | NE | BCBS PROVIDER ID |
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 |
|---|---|---|---|---|
| I20071207000534 | NE | Practitioner - Family Practice | 1052400496 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Physicians Group, PC
Practice addresses (Care Compare)
770 N Cotner Blvd
Suite 205
Lincoln, NE 68505-2344
Phone (402) 467-4661
Hospital & facility affiliations
- Interim Healthcare
- Eventide Home Health Care
- Centerwell Home Health
- The Nebraska Medical Center
- Bryan Medical Center
- CHI Health St. Elizabeth
- Madonna Rehabilitation Hospital Lincoln
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18258 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Physicians Group, PC | Current | Accepting new patients |
Locations
770 N Cotner Blvd
Ste 205
Lincoln, NE 68505
Phone (402) 467-4661
Interoperability endpoints
- petermorin@fpg.allscriptsdirect.net
Organizations & group practices 1
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 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lincoln, NE
- NPI 1558398479
-
- Home Health Agency
- Lincoln, NE
- NPI 1760415798
-
- Rehabilitation Hospital
- Lincoln, NE
- NPI 1558458091
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
Hospital
-
- Home Health Agency
- Lincoln, NE
- NPI 1720163298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1669435343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD SUITE 205",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052344",
"telephone_number": "402-467-4661",
"fax_number": "405-467-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 N COTNER BLVD",
"address_2": "SYE 205",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052310",
"telephone_number": "402-467-4661",
"fax_number": "402-467-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIN",
"first_name": "PETER",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "18258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47054632400",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC ID",
"identifier": "080028227",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE STATE LICENSE",
"identifier": "18258",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "00258",
"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 Mar 7, 2023; 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.