Individual provider Active NPI

Linda Denise Corr, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1942542790
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
501 Issued in NE
Practice address
4451 N 26TH St Ste 1000
Lincoln, NE 68521-4144
Phone
(402) 476-2600
NPI assigned
Mar 20, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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 501 NE Primary

Addresses

Primary practice location

4451 N 26TH St Ste 1000
Lincoln, NE 68521-4144

Mailing address

9623 Yellow Pine Road
Lincoln, NE 68505
Phone (402) 560-9736

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
I20180723001306 NE Practitioner - Physician Assistant 6103173109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4900 N 26TH St
Suite 104
Lincoln, NE 68521-4746
Phone (402) 465-0010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Nebraska PC CurrentSince Jul 16, 2018 Accepting new patients
American Current Care of Nebraska PC CurrentSince Jul 16, 2018 Accepting new patients

Locations

4900 N 26th St
Ste 104
Lincoln, NE 68521
Phone (402) 465-0010

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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, 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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1942542790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 YELLOW PINE ROAD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68505",
            "telephone_number": "402-560-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 N 26TH ST STE 1000",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214144",
            "telephone_number": "402-476-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORR",
        "first_name": "LINDA",
        "middle_name": "DENISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.