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
- 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.
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1982616090
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1750940680
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1528071669
-
- 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
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1336152420
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1235142316
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1366463994
-
- 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
- Lincoln Healthcare Services
- Lincoln Hospitalist Associates, LLC
- Lincoln Il/Al, LLC
- Lincoln Joint & Wellness Care
- Lincoln Karate Clinic, Inc.
- 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.