Organization Active NPI

Innovative Community Health Institute LLC

Doing business as Lancaster Family Medicine

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1851859334
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC
Doing business as
Lancaster Family Medicine
Practice address
4911 N 26TH St
Lincoln, NE 68521-4739
Phone
(402) 826-3222
Fax
(402) 826-3228
NPI assigned
Mar 4, 2019
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
INNOVATIVE COMMUNITY HEALTH INSTITUTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Dr. Josue Daniel Gutierrez, MDNPI 1790123982
Title
Owner
Phone
(402) 209-0311

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4911 N 26TH St
Lincoln, NE 68521-4739

Mailing address

4911 N 26TH St Ste 101
Lincoln, NE 68521-4739
Phone (402) 826-3222

Other names 1

  • Lancaster Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190325001140 NE Part B Supplier - Clinic/Group Practice 0840530150 Receives reassigned benefits from 5 practitioners
Practice locations: Wilber, NE; Lincoln, NE; Friend, NE; Crete, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2291873Lancaster Family Medicine4911 N 26TH Ste 106, Lincoln, NE 68521ComplianceMar 18, 2028

National Provider Directory

National Provider Directory
Part of
Innovative Community Health Institute LLC

Locations

830 E 1st St
Ste 200
Crete, NE 68333
Phone (402) 433-5129

4911 N 26th St
Lincoln, NE 68521
Phone (402) 438-7330

4911 N 26th St
Ste 101
Lincoln, NE 68521

Interoperability endpoints

  • Direct secure messaging: christinadux@sms.allscriptsdirect.net
  • Direct secure messaging: josuegutierrez@sms.allscriptsdirect.net
  • Direct secure messaging: krystaljackson@sms.allscriptsdirect.net

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1851859334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 N 26TH ST STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214739",
            "telephone_number": "402-826-3222",
            "fax_number": "402-826-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 N 26TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214739",
            "telephone_number": "402-826-3222",
            "fax_number": "402-826-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC",
        "enumeration_date": "2019-03-04",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-209-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.