Individual provider Active NPI

Nancy Glee Mize, PHD

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1902945033
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
447 Issued in NE
Practice address
2444 O Street
Lincoln, NE 68510
Phone
(402) 475-7666
Fax
(402) 476-9623
NPI assigned
Feb 5, 2007
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 447 NE Primary

Addresses

Primary practice location

2444 O Street
Lincoln, NE 68510

Mailing address

2444 O Street
Lincoln, NE 68510
Phone (402) 475-7666

Other practice location 1

2900 W E St
North Platte, NE 69101-1803
Phone (910) 742-9243

Other identifiers 2

IdentifierTypeStateIssuer
96118OtherNEBCBS
08346OtherNEBCBS

Other names 1

  • Nancy Glee Grimes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924002289 NE Practitioner - Clinical Psychologist 2567770506 Reassigns benefits to 2 organizations
Practice locations: Lincoln, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Psychological Services PCGroup PAC ID 2365719598, 3 clinicians

Practice addresses (Care Compare)

4535 Normal Blvd
Suite 201
Lincoln, NE 68506-2891
Phone (402) 646-8758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Ground Psychotherapy LLC Psychologist CurrentSince Oct 1, 2025 Accepting new patients
Trinity Psychological Services PC CurrentSince Oct 1, 2025 Accepting new patients
Alivation Health, LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

4535 Normal Blvd
Ste 201
Lincoln, NE 68506
Phone (402) 646-8758

8550 Cuthills Cir
Ste 100
Lincoln, NE 68526

3801 Union Dr
Ste 206
Lincoln, NE 68516
Phone (402) 432-4372

Interoperability endpoints

  • Direct secure messaging: nancy.mize.p1@direct.bluestemlincoln.nextgenshare.com

Organizations & group practices 3

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1902945033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 O STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-475-7666",
            "fax_number": "402-476-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 O STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-475-7666",
            "fax_number": "402-476-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 W E St",
            "address_purpose": "LOCATION",
            "city": "North Platte",
            "state": "NE",
            "postal_code": "691011803",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-6178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZE",
        "first_name": "NANCY",
        "middle_name": "GLEE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96118",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08346",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "GRIMES",
            "middle_name": "GLEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.