NPIMap

Individual provider Active NPI

Peter M Morin, M.D.

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1669435343
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18258 Issued in NE
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
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PCGroup PAC ID 7810086253, 3 clinicians

Practice addresses (Care Compare)

770 N Cotner Blvd
Suite 205
Lincoln, NE 68505-2344
Phone (402) 467-4661

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians Group, PC CurrentSince Dec 1, 2007 Accepting new patients

Locations

770 N Cotner Blvd
Ste 205
Lincoln, NE 68505
Phone (402) 467-4661

Interoperability endpoints

  • Direct secure messaging: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.