Active NPI
Lincoln Internal Medicine Associates, PC
- Internal Medicine Physician
- Lincoln, NE
National Provider Identifier
1891708848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LINCOLN INTERNAL MEDICINE ASSOCIATES, PC
- Practice address
- 3901 Pine Lake Rd
Suite 220
Lincoln, NE 68516-5497 - Phone
- (402) 421-3240
- Fax
- (402) 423-0739
- NPI assigned
- Aug 14, 2006
- Last updated
- Mar 23, 2023
- 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
- Morgan Ariel Schrunk
- Title
- Credentialing Coordinator
- Phone
- (531) 218-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3901 Pine Lake Rd
Suite 220
Lincoln, NE 68516-5497
Mailing address
3901 Pine Lake Rd
Suite 220
Lincoln, NE 68516-5497
Phone (402) 421-3240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0934062 | Lincoln Internal Medicine Associates | Accreditation | May 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
2222 S 16th St
#A300
Lincoln, NE 68502
Phone (402) 475-4295
Interoperability endpoints
- https://api.platform.athenahealth.com/14572/brand/3/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 13
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.
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1982616090
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1750940680
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1528071669
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- Internal Medicine Physician
- Lincoln, NE
- NPI 1356352256
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1083622450
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1215940358
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1356354419
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- Internal Medicine Physician
- Lincoln, NE
- NPI 1336152420
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- Internal Medicine Physician
- Lincoln, NE
- NPI 1235142316
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- Internal Medicine Physician
- Lincoln, NE
- NPI 1366463994
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- Internal Medicine Physician
- Lincoln, NE
- NPI 1487666509
-
- Medical Physician Assistant
- Lincoln, NE
- NPI 1043388184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1891708848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 PINE LAKE RD",
"address_2": "SUITE 220",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165497",
"telephone_number": "402-421-3240",
"fax_number": "402-423-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 PINE LAKE RD",
"address_2": "SUITE 220",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165497",
"telephone_number": "402-421-3240",
"fax_number": "402-423-0739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN INTERNAL MEDICINE ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2023-03-23",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "SCHRUNK",
"authorized_official_first_name": "MORGAN",
"authorized_official_middle_name": "ARIEL",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "531-218-0500"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
- Lincoln Gateway Chiropractic
- Lincoln Healthcare Opco LLC (Heartland Ridge Care Center)
- Lincoln Healthcare Services
- Lincoln Hospitalist Associates, LLC
- Lincoln Il/Al, LLC (The Residence at Gramercy)
- Lincoln Joint & Wellness Care
- Lincoln Karate Clinic, Inc. (KICKS Counseling)
- Lincoln Lactation, Inc.
- Lincoln Lancaster County Child Advocacy Center
- Lincoln Light My Life Counseling, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.