Matthew J Magnino, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

21554 Issued in NE

Practice address

450 E 23Rd St
Fremont, NE 68025-2303

Phone

(402) 727-7990

Fax

(402) 727-1761

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmagnino102668@direct.nebraskamed.com

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.

• The Mary Lanning Memorial Hospital Association

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1356656417
  Medicare reassignment Care Compare group NPD
• Surgery Center of Fremont, LLC

  • Ambulatory Surgical Clinic/Center
  • Fremont, NE
  • NPI 1437102241
  Medicare reassignment NPD
• Surgery Center of Fremont LLC

  • Certified Registered Nurse Anesthetist
  • Fremont, NE
  • NPI 1770812679
  NPD
• The Mary Lanning Memorial Hospital Association

  • Anatomic Pathology & Clinical Pathology Physician
  • Hastings, NE
  • NPI 1760530216
  NPD

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

• The Mary Lanning Memorial Hospital Association

  • Clinical Medical Laboratory
  • Hastings, NE
  • NPI 1205442258

  Hospital

  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  • Rural Acute Care Hospital
  • Hastings, NE
  • NPI 1831203488
  Care Compare affiliation

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1962451633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N BELL ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254347",
            "telephone_number": "402-727-7990",
            "fax_number": "402-727-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252303",
            "telephone_number": "402-727-7990",
            "fax_number": "402-727-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNINO",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "21554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050078071",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911765978-13",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS - NEBRASKA",
            "identifier": "34726",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Elaine Lussenhop, MD
• Mary J Maas
• Madeleine Macdonald, MD
• Lindsey Madsen
• Kristie Magnino, CRNA
• Kenneth Lee Mahnke, D.C.
• Levi Mahnke
• Ryan John Mahnke, MS, PLMHP
• Main Street Counseling
• Cheryl Malina

• Specialist in Fremont, NE
• Providers in Fremont, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.