Individual provider Active NPI

Lucas Krizek, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1669957098
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112603 Issued in NE
Practice address
6404 N 70TH PLZ
Omaha, NE 68104-1074
Phone
(402) 573-3700
Fax
(402) 573-3791
NPI assigned
Oct 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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 112603 NE Primary

Addresses

Primary practice location

6404 N 70TH PLZ
Omaha, NE 68104-1074

Mailing address

6404 N 70TH PLZ
Omaha, NE 68104-1074
Phone (402) 573-3700

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
I20190828000744 NE Practitioner - Nurse Practitioner 2062740160 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc CurrentSince Jan 5, 2025 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Quality Living Inc CurrentSince Jul 1, 2019 Accepting new patients
Nebraska Methodist Hospital CurrentSince Jul 30, 2023 Accepting new patients
Omaha Foot Care Center Inc Past Accepting new patients

Locations

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

6404 N 70th Plz
Omaha, NE 68104
Phone (402) 573-3700

6415 N 70th Plz
Omaha, NE 68104
Phone (402) 573-3700

6320 N 70th Plz
Omaha, NE 68104
Phone (402) 573-3700

Interoperability endpoints

  • Direct secure messaging: lucas.krizek@direct.nmhs.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1669957098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 N 70TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041074",
            "telephone_number": "402-573-3700",
            "fax_number": "402-573-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 N 70TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041074",
            "telephone_number": "402-573-3700",
            "fax_number": "402-573-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZEK",
        "first_name": "LUCAS",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.