Individual provider Active NPI

Jean M Baumeister, AUDIOLOGIST

  • Audiology Assistant
  • Lincoln, NE
National Provider Identifier
1871500678
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiology AssistantTaxonomy code 2355A2700X
License
174 Issued in NE
Practice address
575 S 70TH St
Ste 440
Lincoln, NE 68510-2471
Phone
(402) 484-5500
Fax
(402) 484-5501
NPI assigned
Aug 2, 2006
Last updated
Sep 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiology Assistant 2355A2700X 174 NE Primary

Addresses

Primary practice location

575 S 70TH St
Ste 440
Lincoln, NE 68510-2471

Mailing address

2000 Q St
Ste 500
Lincoln, NE 68503-3610
Phone (402) 421-0896

Other identifiers 2

IdentifierTypeStateIssuer
06637OtherNEBCBS
10024991800MedicaidNE

Other names 1

  • Jean M Rudkin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001592 NE Practitioner - Qualified Audiologist 5193617595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

7001 A St
Lincoln, NE 68510-4205

7440 S 91St St
Lincoln, NE 68526-9797

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Jan 1, 2021 Accepting new patients
Lincoln Physician Network LLC Past Accepting new patients

Locations

7001 A St
Ste 210
Lincoln, NE 68510
Phone (402) 484-5500

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1871500678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 Q ST",
            "address_2": "STE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033610",
            "telephone_number": "402-421-0896",
            "fax_number": "402-421-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 70TH ST",
            "address_2": "STE 440",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102471",
            "telephone_number": "402-484-5500",
            "fax_number": "402-484-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMEISTER",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "NE",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06637",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024991800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "RUDKIN",
            "middle_name": "M",
            "credential": "AUDIOLOGIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 26, 2017; 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.