Organization Active NPI

Medelite Urgent Care L.L.C.

Doing business as Midwest Elite Family Medicine

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1932885381
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDELITE URGENT CARE L.L.C.
Doing business as
Midwest Elite Family Medicine
Practice address
7100 S 69TH St
Ste 101
Lincoln, NE 68516-4283
Phone
(402) 489-7100
NPI assigned
Jun 22, 2023
Organization subpart
Yes
Parent organization
MEDELITE URGENT CARE L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Jeremy Alan Johnson
Title
Owner
Phone
(402) 340-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7100 S 69TH St
Ste 101
Lincoln, NE 68516-4283

Mailing address

15877 S 64TH St
Roca, NE 68430-4355
Phone (402) 340-2505

Other names 1

  • Midwest Elite Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231025001069 NE Part B Supplier - Clinic/Group Practice 0345696589 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2290652Midwest Elite Family Medicine7100 S 69TH Street, Ste 101, Lincoln, NE 68516Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory
Part of
Medelite Urgent Care LLC

Locations

7120 S 69th St
Ste 101A
Lincoln, NE 68516
Phone (402) 499-2883

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1932885381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15877 S 64TH ST",
            "city": "ROCA",
            "state": "NE",
            "postal_code": "684304355",
            "telephone_number": "402-340-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 S 69TH ST",
            "address_2": "STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164283",
            "telephone_number": "402-489-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDELITE URGENT CARE L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDELITE URGENT CARE L.L.C.",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-340-2505"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Elite Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Elite Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.

Verify at the official NPI Registry.