Individual provider Active NPI

Elizabeth K Mollard, CNM, WHNP

  • Advanced Practice Midwife
  • Lincoln, NE
National Provider Identifier
1962739656
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
120083 Issued in NE
Practice address
8020 O St
Lincoln, NE 68510-2561
Phone
(402) 488-6370
Fax
(402) 488-4393
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111107 NE
Advanced Practice Midwife 367A00000X 120083 NE Primary

Addresses

Primary practice location

8020 O St
Lincoln, NE 68510-2561

Mailing address

8020 O St
Lincoln, NE 68510-2561
Phone (402) 488-6370

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403002477 NE Practitioner - Certified Nurse Midwife (CNM) 7012057375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

8020 O St
Lincoln, NE 68510-2561
Phone (402) 488-6370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
120083NEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Feb 1, 2023 Accepting new patients
Saint Elizabeth Regional Medical Center Past Accepting new patients
The Physician Network Nurse Practitioner PastSince Sep 1, 2011 Accepting new patients

Locations

8020 O St
Lincoln, NE 68510
Phone (402) 488-6370

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

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.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1962739656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102561",
            "telephone_number": "402-488-6370",
            "fax_number": "402-488-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102561",
            "telephone_number": "402-488-6370",
            "fax_number": "402-488-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLARD",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111107",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NE",
            "license": "120083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.