PRIMUS HEALTH CARE PC NPI 1508171612

NPI Information

  • NPI: 1508171612
  • Provider Name: PRIMUS HEALTH CARE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3900 PINE LAKE RD
    LINCOLN, NE
    ZIP 68516
  • Phone: (402) 421-2100

Map and Directions

Get Directions

NPI Details

PRIMUS HEALTH CARE PC is a family medicine in Lincoln, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMUS HEALTH CARE PC NPI is 1508171612. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3900 PINE LAKE RD
LINCOLN, NE
ZIP 68516-489
Phone: (402) 421-2100
Fax: (402) 421-2104

The provider's authorized official is Matthew M Glenn .
The authorized official title is Owner and has the following contact phone number (402) 421-2100.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 5/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110025945700MEDICAIDNEBRASKA
210025951900MEDICAIDNEBRASKA
310025951600MEDICAIDNEBRASKA
410026136000MEDICAIDNEBRASKA
510026145200MEDICAIDNEBRASKA
610025898200MEDICAIDNEBRASKA
710025945200MEDICAIDNEBRASKA
810025945300MEDICAIDNEBRASKA
910025945500MEDICAIDNEBRASKA
1010026145100MEDICAIDNEBRASKA
1110025945400MEDICAIDNEBRASKA
1210025951700MEDICAIDNEBRASKA
1310025951800MEDICAIDNEBRASKA
1410025945600MEDICAIDNEBRASKA
15NA1691MEDICARE PINNEBRASKA
16NA2104MEDICARE PINNEBRASKA
1710025945800MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI