Active NPI
Lacy K Vogtman, APRN
- Nurse Practitioner
- Papillion, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 110772
- Practice address
- 101 E Centennial Rd
Papillion, NE 68046-2079 - Phone
- (402) 354-7750
- Fax
- (402) 354-7760
- NPI assigned
- Jul 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1760 | NE | |
| Nurse Practitioner | 363L00000X | 110772 | NE | Primary |
Addresses
Primary practice location
101 E Centennial Rd
Papillion, NE 68046-2079
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10992735795 | Medicaid | IA | |
| 47068731721 | Medicaid | NE | |
| 47077295213 | Medicaid | NE |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1760 | NE | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| Midwest Gastrointestinal Associates PC | Nurse Practitioner | Past | Accepting new patients |
Locations
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
101 E Centennial Rd
Papillion, NE 68046
Phone (402) 354-7750
Interoperability endpoints
- lacy.vogtman@direct.nmhs.org
Organizations & group practices 2
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.
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
Nurse Practitioner
-
dba Midwest Gastrointestinal Associates
- Gastroenterology Physician
- Omaha, NE
- NPI 1073569125
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health Midlands
- General Acute Care Hospital
- Papillion, NE
- NPI 1215006101
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1992735195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E CENTENNIAL RD",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680462079",
"telephone_number": "402-354-7750",
"fax_number": "402-354-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGTMAN",
"first_name": "LACY",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NE",
"license": "1760",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "110772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10992735795",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731721",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47077295213",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.