Dermatology Associates of Lincoln, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF LINCOLN, LLC

Practice address

6969 South St
Lincoln, NE 68506-2835

Phone

(402) 413-7460

Fax

(402) 413-7486

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Janel Z Fricke, MHA

Title

Practice Administrator

Phone

(531) 500-1729

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casey D Bowen, MD

  • Dermatology Physician
  • Lincoln, NE
  • NPI 1619144003
  Medicare reassignment Care Compare group NPD
• Gina Leigh Weir, MD

  • Dermatology Physician
  • Lincoln, NE
  • NPI 1720309263
  Medicare reassignment Care Compare group NPD
• Jay R Arthur, PA-C

  • Medical Physician Assistant
  • Lincoln, NE
  • NPI 1083970040
  Medicare reassignment Care Compare group
• Meredith J McManaman, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1740910397
  Medicare reassignment Care Compare group
• Christina Kay Meyer, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1003135229
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1982235883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062835",
            "telephone_number": "402-413-7460",
            "fax_number": "402-413-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062835",
            "telephone_number": "402-413-7460",
            "fax_number": "402-413-7486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 H St",
            "address_purpose": "LOCATION",
            "city": "Fairbury",
            "state": "NE",
            "postal_code": "683521119",
            "country_code": "US",
            "telephone_number": "402-413-7460",
            "fax_number": "402-413-7486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF LINCOLN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "FRICKE",
        "authorized_official_first_name": "JANEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "531-500-1729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026824600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "EA0767",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Mari Dering-Anderson, PHARMD, RP
• Chakira Derman
• Ishane Derman
• David Dermann
• Doris Ann Dermann
• Mejra Deronjic
• Victoriya Derun
• Maureen Anne Deryke
• Eric Deshazer, DDS
• Rachel Noelle Despain, MA

• Dermatology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dermatology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.