NPIMap

Organization Active NPI

Schrock Medical Clinic PC

  • General Practice Physician
  • Lincoln, NE
National Provider Identifier
1891576401
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SCHROCK MEDICAL CLINIC PC
Practice address
4546 S 86TH St Ste B
Lincoln, NE 68526-9252
Phone
(402) 817-1999
Fax
(402) 817-1559
NPI assigned
Oct 10, 2023
Organization subpart
Yes
Parent organization
SCHROCK MEDICAL CLINIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Julie C Prellwitz
Title
Clinic Director
Phone
(308) 236-6499

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4546 S 86TH St Ste B
Lincoln, NE 68526-9252

Mailing address

1616 W 39TH St Ste a
Kearney, NE 68845-2922
Phone (308) 236-6499

National Provider Directory

National Provider Directory
Part of
Schrock Medical Clinic PC

Locations

1616 W 39th St
Ste A
Kearney, NE 68845
Phone (308) 236-6499

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1891576401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W 39TH ST STE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452922",
            "telephone_number": "308-236-6499",
            "fax_number": "308-236-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 S 86TH ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269252",
            "telephone_number": "402-817-1999",
            "fax_number": "402-817-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHROCK MEDICAL CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHROCK MEDICAL CLINIC PC",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "PRELLWITZ",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "308-236-6499"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.