Active NPI
Central Nebraska Neurology PC
- Neurology Physician
- Hastings, NE
National Provider Identifier
1790713105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20077
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lorraine Lynn Edwards, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025015900 | Medicaid | NE |
Other names 1
- Central Nebraska Neurology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311001018 | NE | Part B Supplier - Clinic/Group Practice | 8921997644 |
Receives reassigned benefits from 3 practitioners Practice locations: Hastings, NE |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
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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.