Individual provider Active NPI

Luanne M Lundergard, N.P.

  • Adult Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1962425652
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
110483 Issued in NE
Practice address
16929 Frances St
Ste 103
Omaha, NE 68130-4683
Phone
(402) 758-5821
Fax
(402) 898-8380
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 110483 NE Primary
Adult Health Nurse Practitioner 363LA2200X H070586 IA

Addresses

Primary practice location

16929 Frances St
Ste 103
Omaha, NE 68130-4683

Mailing address

16929 Frances St
Ste 103
Omaha, NE 68130-4683
Phone (402) 758-5821

Other identifiers 4

IdentifierTypeStateIssuer
500020913OtherNERAILROAD MEDICARE
10025353100MedicaidNE
1962425652OtherNEBCBS NE
098611097OtherNEMEDICARE PTAN

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
I20100422000189 NE Practitioner - Nurse Practitioner 4284761313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Think Aksarben LLCGroup PAC ID 9638394505, 77 clinicians

Practice addresses (Care Compare)

7100 W Ctr Rd
Omaha, NE 68106-2714
Phone (402) 506-9000

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H070586IAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Think Aksarben, LLC CurrentSince Dec 11, 2023 Accepting new patients
Physicians of Internal Medicine, PC Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

Interoperability endpoints

  • Direct secure messaging: luannelundergard@thinkaks.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1962425652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16929 FRANCES ST",
            "address_2": "STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304683",
            "telephone_number": "402-758-5821",
            "fax_number": "402-898-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16929 FRANCES ST",
            "address_2": "STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304683",
            "telephone_number": "402-758-5821",
            "fax_number": "402-898-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDERGARD",
        "first_name": "LUANNE",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "110483",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H070586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500020913",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025353100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "1962425652",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "098611097",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.