Organization Active NPI

Central Nebraska Neurology PC

  • Neurology Physician
  • Hastings, NE
National Provider Identifier
1790713105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20077 Issued in NE
Legal business name
CENTRAL NEBRASKA NEUROLOGY PC
Practice address
2727 West 2ND St
Suite 340
Hastings, NE 68901
Phone
(402) 463-1250
Fax
(402) 463-1461
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lorraine Lynn Edwards, MDNPI 1558332346
Title
President
Phone
(402) 463-1250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 20077 NE Primary

Addresses

Primary practice location

2727 West 2ND St
Suite 340
Hastings, NE 68901

Mailing address

2727 West 2ND St
Suite 340
Hastings, NE 68901
Phone (402) 463-1250

Other identifiers 1

IdentifierTypeStateIssuer
10025015900MedicaidNE

Other names 1

  • Central Nebraska Neurology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311001018 NE Part B Supplier - Clinic/Group Practice 8921997644 Receives reassigned benefits from 3 practitioners
Practice locations: Hastings, NE

National Provider Directory

National Provider Directory

Locations

2727 W 2nd St
Ste 340
Hastings, NE 68901
Phone (402) 463-1250

2727 W 2nd St
Hastings, NE 68901
Phone (402) 334-6900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17147/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790713105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 WEST 2ND ST",
            "address_2": "SUITE 340",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "68901",
            "telephone_number": "402-463-1250",
            "fax_number": "402-463-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 WEST 2ND ST",
            "address_2": "SUITE 340",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "68901",
            "telephone_number": "402-463-1250",
            "fax_number": "402-463-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEBRASKA NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-463-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NE",
            "license": "20077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025015900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Nebraska Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.