Active NPI
Sara Jean Greisen, PA-C
- Physician Assistant
- Lincoln, NE
National Provider Identifier
1962456111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1181
- Practice address
- 5566 S. 56TH St
Lincoln, NE 68516 - Phone
- (402) 423-6510
- Fax
- (401) 216-4295
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1181 | NE | Primary |
Addresses
Primary practice location
5566 S. 56TH St
Lincoln, NE 68516
Mailing address
6262 S. 82ND St
Lincoln, NE 68516
Phone (402) 540-5840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23160 | Other | NE | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1181 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Lake Health LLC | Physician Assistant | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1962456111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6262 S. 82ND ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-540-5840",
"fax_number": "402-423-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5566 S. 56TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-423-6510",
"fax_number": "401-216-4295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREISEN",
"first_name": "SARA",
"middle_name": "JEAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "23160",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}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 May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.