Active NPI
Corrine R Waddell
- Primary Care Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 115981
- Practice address
- 2222 S 16TH St
Tower B Ste 405
Lincoln, NE 68502-3793 - Phone
- (402) 481-5860
- NPI assigned
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2026028068 | MO | |
| Primary Care Nurse Practitioner | 363LP2300X | 115981 | NE | Primary |
Addresses
Primary practice location
2222 S 16TH St
Tower B Ste 405
Lincoln, NE 68502-3793
Mailing address
PO Box 860876
Minneapolis, MN 55486-0876
Phone (402) 483-8590
Other practice location 1
26136 US Highway 59
Fairfax, MO 64446-9105
Phone (660) 686-2211
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2222 S 16TH St Tower B
405 Bryan Medical Center Trauma Outpatient
Lincoln, NE 68502-3793
Phone (402) 481-5860
Hospital & facility affiliations
- Bryan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115981 | NE | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients |
Locations
2222 S 16th St
Ste 405
Lincoln, NE 68502
Phone (402) 474-3704
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
2222 S 16th St
Ste 405B
Lincoln, NE 68502
Phone (402) 481-5860
2222 S 16th St
Ste 405B1
Lincoln, NE 68502
Interoperability endpoints
- cwaddell206094@hisp.bryanhealth.org
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1710874995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860876",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860876",
"telephone_number": "402-483-8590",
"fax_number": "402-483-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 16TH ST",
"address_2": "TOWER B STE 405",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023793",
"telephone_number": "402-481-5860"
}
],
"practiceLocations": [
{
"address_1": "26136 US Highway 59",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "MO",
"postal_code": "644469105",
"country_code": "US",
"telephone_number": "660-686-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADDELL",
"first_name": "CORRINE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-20",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2026028068",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NE",
"license": "115981",
"primary": true
}
],
"identifiers": [],
"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 15, 2026; 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.