Individual provider Active NPI

Donna K Nelson, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1710055058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15118 Issued in NE
Practice address
15TH & U Streets
University Health Center
Lincoln, NE 68588-0618
Phone
(402) 472-5000
Fax
(402) 472-4593
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15118 NE Primary

Addresses

Primary practice location

15TH & U Streets
University Health Center
Lincoln, NE 68588-0618

Mailing address

PO Box 880618
University Health Center 15TH & U Streets
Lincoln, NE 68588-0618
Phone (402) 472-5000

Other identifiers 1

IdentifierTypeStateIssuer
10025121400MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15118NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Heights Family Medicine, P.C. Family Medicine Current Accepting new patients
University of Nebraska Board of Regents Past Accepting new patients

Locations

8720 Frederick St
Ste 100
Omaha, NE 68124
Phone (402) 397-0700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710055058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880618",
            "address_2": "UNIVERSITY HEALTH CENTER 15TH & U STREETS",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880618",
            "telephone_number": "402-472-5000",
            "fax_number": "402-472-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15TH & U STREETS",
            "address_2": "UNIVERSITY HEALTH CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880618",
            "telephone_number": "402-472-5000",
            "fax_number": "402-472-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DONNA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "15118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025121400",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.