Individual provider Active NPI

Lyubov Butsyak, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1730880329
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113991 Issued in NE
Practice address
4321 S 175TH Ave
Omaha, NE 68135-2659
Phone
(402) 216-6956
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 113991 NE Primary

Addresses

Primary practice location

4321 S 175TH Ave
Omaha, NE 68135-2659

Mailing address

4321 S 175TH Ave
Omaha, NE 68135-2659
Phone (402) 216-6956

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
I20230427002268 NE Practitioner - Nurse Practitioner 4486019353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

4242 Farnam St
Suite 650
Omaha, NE 68131-2813
Phone (402) 559-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Mar 30, 2023 Accepting new patients

Locations

3802 Raynor Pkwy
Bellevue, NE 68123
Phone (402) 280-3550

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

4242 Farnam St
Ste 650
Omaha, NE 68131
Phone (402) 502-8787

Interoperability endpoints

  • Direct secure messaging: lbutsyak33225@direct.nebraskamed.com

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 1

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1730880329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 S 175TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681352659",
            "telephone_number": "402-216-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 S 175TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681352659",
            "telephone_number": "402-216-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTSYAK",
        "first_name": "LYUBOV",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.