Individual provider Active NPI

Nathan B Green, DO

  • Hematology & Oncology Physician
  • Lincoln, NE
National Provider Identifier
1679563936
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
343 Issued in NE
Practice address
4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone
(402) 420-7000
Fax
(402) 420-6969
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 343 NE Primary

Addresses

Primary practice location

4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587

Mailing address

4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone (402) 420-7000

Other identifiers 4

IdentifierTypeStateIssuer
03816OtherNEBCBS
239782OtherNEMIDLANDS CHOICE
200269640AMedicaidKS
3600324OtherNEUHC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@sncc.oncoemrdirect.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000668 NE Practitioner - Medical OncologyPractitioner - Internal Medicine 7113976176 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
Bryan Medical CenterGroup PAC ID 4284628652, 50 clinicians
Cancer Partners of Nebraska PCGroup PAC ID 9436148426, 30 clinicians

Practice addresses (Care Compare)

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321

1500 S 48TH St
FL 1
Lincoln, NE 68506-1276
Phone (402) 489-0200

4101 Tiger Lily Rd
Suite 100
Lincoln, NE 68516-5587
Phone (402) 420-7000

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phelps Memorial Health Center CurrentSince Aug 7, 2019 Accepting new patients
Phelps Memorial Health Center CurrentSince Aug 7, 2019 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Cancer Partners of Nebraska PC Hematology & Oncology CurrentSince Jan 9, 2003 Accepting new patients
CHI Health Clinic Specialty, LLC Hematology & Oncology CurrentSince Sep 25, 2023 Accepting new patients
Bryan Medical Center CurrentSince May 1, 2022 Accepting new patients
York General Hospital Current Accepting new patients
Bryan Medical Center CurrentSince May 1, 2022 Accepting new patients
Cancer Partners of Nebraska PC Hematology & Oncology CurrentSince Jan 9, 2003 Accepting new patients
Bryan Medical Center Current Accepting new patients
St. Mary's Community Hospital Current Accepting new patients
The Physician Network PastSince Sep 1, 2011 Accepting new patients

Locations

2307 Barada St
Falls City, NE 68355
Phone (402) 245-2428

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1500 S 48th St
Fl 1
Lincoln, NE 68506
Phone (402) 489-0200

4101 Tiger Lily Rd
Ste 100
Lincoln, NE 68516
Phone (402) 420-7000

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

201 S 68th Street Pl
Ste 200
Lincoln, NE 68510
Phone (402) 420-7000

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

Interoperability endpoints

  • Direct secure messaging: admin@sncc.oncoemrdirect.com

Organizations & group practices 12

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 7

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1679563936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TIGER LILY RD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165587",
            "telephone_number": "402-420-7000",
            "fax_number": "402-420-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TIGER LILY RD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165587",
            "telephone_number": "402-420-7000",
            "fax_number": "402-420-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NATHAN",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03816",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "239782",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200269640A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "3600324",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@sncc.oncoemrdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4101 Tiger Lily Rd Ste 100",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685165587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.