CHENEY RIDGE FAMILY MEDICAL CLINIC, PC
NPI 1003044660
General Practice in Lincoln, NE

Active since June 22, 2009CLIA 28D1105964 · Waiver
3540 VILLAGE DR, SUITE 100, LINCOLN, NE 68516(402) 420-7113 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cheney Ridge Family Medical Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHENEY RIDGE FAMILY MEDICAL CLINIC, PC (NPI 1003044660) is a healthcare organization registered as a general practice in Lincoln, Nebraska and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Patrick J Bertolini, President, as its authorized official.

NPPES Registry Identity

NPI1003044660
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCHENEY RIDGE FAMILY MEDICAL CLINIC, PC
Location Address3540 VILLAGE DR, SUITE 100Lincoln, NE 68516-4706
Mailing Address3540 Village Dr, Suite 100Lincoln, NE 68516-4706 · (402) 420-7113
Organization SubpartNo
Authorized OfficialPatrick J BertoliniPresident · (402) 420-7113
Enumeration DateJune 22, 2009
Last NPPES UpdateMay 18, 2020
NPPES CertifiedMay 18, 2020
NPI 1003044660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NE · 16656
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3540 VILLAGE DR, Lincoln, NE 68516

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D1105964

Cheney Ridge Family Medical Clinic · Lincoln, NE
Active · expires Mar 2, 2027
CLIA Number28D1105964
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorDr. Patrick J. Bertolini
Laboratory Phone(402) 483-3885
Laboratory LocationCheney Ridge Family Medical Clinic3540 Village Drive #100, Lincoln, NE 68516
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3540 VILLAGE DR, SUITE 100
LINCOLN, NE 68516
Family Medicine
3540 VILLAGE DR, SUITE 100
LINCOLN, NE 68516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheney Ridge Family Medical Clinic, PC's NPI number?

The NPI number for Cheney Ridge Family Medical Clinic, PC is 1003044660. It was assigned to this organization in the NPPES registry on June 22, 2009.

Where is Cheney Ridge Family Medical Clinic, PC located?

Cheney Ridge Family Medical Clinic, PC is located at 3540 Village Dr Suite 100, Lincoln, NE 68516. The listed phone number is (402) 420-7113.

What is Cheney Ridge Family Medical Clinic, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Cheney Ridge Family Medical Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1105964) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cheney Ridge Family Medical Clinic, PC accept?

Health plans from Medica list Cheney Ridge Family Medical Clinic, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cheney Ridge Family Medical Clinic, PC was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.