Organization Active NPI

Lincoln Medical Education Partnership

Doing business as Lincoln Family Medicine Center

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1891703708
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LINCOLN MEDICAL EDUCATION PARTNERSHIP
Doing business as
Lincoln Family Medicine Center
Practice address
4600 Valley Rd
Ste 200
Lincoln, NE 68510-4844
Phone
(402) 483-4571
Fax
(402) 483-5079
NPI assigned
Aug 4, 2006
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Brenda Bacon
Title
Office Manager
Phone
(402) 483-4571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4600 Valley Rd
Ste 200
Lincoln, NE 68510-4844

Mailing address

4600 Valley Rd
Ste 200
Lincoln, NE 68510-4844
Phone (402) 483-4571

Other names 1

  • Lincoln Family Medicine Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000578 NE Part B Supplier - Clinic/Group Practice 4880645407 Receives reassigned benefits from 19 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

4600 Valley Rd
Ste 2
Lincoln, NE 68510

4600 Valley Rd
Ste 200
Lincoln, NE 68510
Phone (402) 483-4571

4600 Valley Rd
Ste 223
Lincoln, NE 68510
Phone (402) 327-6821

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1891703708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 VALLEY RD",
            "address_2": "STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104844",
            "telephone_number": "402-483-4571",
            "fax_number": "402-483-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 VALLEY RD",
            "address_2": "STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104844",
            "telephone_number": "402-483-4571",
            "fax_number": "402-483-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL EDUCATION PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-483-4571"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Family Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincoln Family Medicine Center",
            "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 Aug 26, 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.