Individual provider Active NPI

Lacey S Jane Snyder, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1912417841
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112343 Issued in NE
Practice address
2727 S 144TH St Ste 280
Omaha, NE 68144-5252
Phone
(402) 778-5490
Fax
(402) 614-1404
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112343 NE Primary

Addresses

Primary practice location

2727 S 144TH St Ste 280
Omaha, NE 68144-5252

Mailing address

2727 S 144TH St Ste 280
Omaha, NE 68144-5252
Phone (402) 778-5490

Other names 1

  • Lacey S Jane Roesler 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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171114003545 NE Practitioner - Nurse Practitioner 5991061558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Value Based Long Term Care B PCGroup PAC ID 4082017884, 28 clinicians
Nebraska House Call Physicians PCGroup PAC ID 7517911555, 23 clinicians

Practice addresses (Care Compare)

3900 Pine Lake Rd
Suite 5
Lincoln, NE 68516-5489
Phone (402) 730-6870

Hospital & facility affiliations

  • Interim Healthcare Home health agency, Lincoln, NE, CCN 287062
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Merit-based Incentive Payment System (MIPS)

Final score
21.02 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
70.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
112343NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska House Call Physicians, P.C. CurrentSince Dec 1, 2017 Accepting new patients
Value Based Long Term Care B PC CurrentSince Apr 14, 2025 Accepting new patients

Locations

12856 Deauville Dr
Omaha, NE 68137
Phone (402) 895-2266

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1912417841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 280",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445252",
            "telephone_number": "402-778-5490",
            "fax_number": "402-614-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 280",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445252",
            "telephone_number": "402-778-5490",
            "fax_number": "402-614-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "LACEY",
        "middle_name": "S JANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "ROESLER",
            "middle_name": "S JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.