Organization Active NPI

Precise Family Care, PC

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1992182620
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110673 Issued in NE
Legal business name
PRECISE FAMILY CARE, PC
Practice address
1021 S Cottonwood St
North Platte, NE 69101-6138
Phone
(308) 534-4438
Fax
(308) 534-4190
NPI assigned
May 1, 2015
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Kelli Ann Lewandowski, APRN
Title
Advanced Practice Registered Nurse
Phone
(308) 534-4438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110673 NE Primary

Addresses

Primary practice location

1021 S Cottonwood St
North Platte, NE 69101-6138

Mailing address

1021 S Cottonwood St
North Platte, NE 69101-6138
Phone (308) 534-4438

Other identifiers 1

IdentifierTypeStateIssuer
100264810-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150708002506 NE Part B Supplier - Clinic/Group Practice 0941512677 Receives reassigned benefits from 5 practitioners
Practice locations: North Platte, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2103799Precise Family Care PC1021 S Cottonwood Street, North Platte, NE 69101Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

Locations

118 E C St
North Platte, NE 69101
Phone (308) 221-6068

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20827/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1992182620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S COTTONWOOD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016138",
            "telephone_number": "308-534-4438",
            "fax_number": "308-534-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S COTTONWOOD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016138",
            "telephone_number": "308-534-4438",
            "fax_number": "308-534-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE FAMILY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADVANCED PRACTICE REGISTERED NURSE",
        "authorized_official_telephone_number": "308-534-4438",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264810-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.