Individual provider Active NPI

Elizabeth M Hendrickson, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1922537554
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2139 Issued in NE
Practice address
575 S 70TH St Ste 200
Lincoln, NE 68510-2471
Phone
(402) 484-4030
Fax
(402) 488-1172
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2139 NE Primary

Addresses

Primary practice location

575 S 70TH St Ste 200
Lincoln, NE 68510-2471

Mailing address

575 S 70TH St Ste 200
Lincoln, NE 68510-2471
Phone (402) 484-4030

Other names 1

  • Elizabeth M Matulka 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
I20170621003013 NE Practitioner - Physician Assistant 8022386721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Orthopaedic Center PCGroup PAC ID 2567432461, 65 clinicians

Practice addresses (Care Compare)

555 S 70TH St
CHI Health Saint Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-7700

575 S 70TH St
Lincoln, NE 68510-2471
Phone (402) 436-2000

6900 A St
Lincoln, NE 68510-4120

Hospital & facility affiliations

  • Lincoln Surgical Hospital Hospital, Lincoln, NE, CCN 280127
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
89.76
Promoting interoperability
99
Improvement activities
40
Cost
70.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2139NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Orthopaedic Center PC CurrentSince Jan 1, 2022 Accepting new patients

Locations

575 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2000

6900 A St
Ste 100
Lincoln, NE 68510
Phone (402) 436-2000

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

Interoperability endpoints

  • Direct secure messaging: elizabeth.hendrickson.1@32860.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922537554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S 70TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102471",
            "telephone_number": "402-484-4030",
            "fax_number": "402-488-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 70TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102471",
            "telephone_number": "402-484-4030",
            "fax_number": "402-488-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MATULKA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.