GASTROENTEROLOGY SPECIALTIES, P.C.
NPI 1083747380
Specialist in Lincoln, NE

Active since March 14, 2007CLIA Certified · 2 labs
4545 R ST, LINCOLN, NE 68503(402) 465-4545(402) 465-3621 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 28, 2021, Aug 17, 2018 (2 updates tracked since 2018).

About Gastroenterology Specialties, P.c. NPPES

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

GASTROENTEROLOGY SPECIALTIES, P.C. (NPI 1083747380) is a healthcare organization registered as a specialist in Lincoln, Nebraska and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Mark G Griffin, Board President, as its authorized official.

NPPES Registry Identity

NPI1083747380
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGASTROENTEROLOGY SPECIALTIES, P.C.
Location Address4545 R STLincoln, NE 68503-3799
Mailing Address4545 R StLincoln, NE 68503-3799 · (402) 465-4545 · Fax (402) 465-3621
Fax(402) 465-3621
Organization SubpartNo
Authorized OfficialMark G GriffinBoard President · (402) 465-4545
Enumeration DateMarch 14, 2007
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1083747380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NE · 001-005685907
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4545 R ST, Lincoln, NE 68503

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gastroenterology Specialties, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Gastroenterology Specialties, P.C., which bills Medicare for the services they deliver. Of these, 51 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)26
Gastroenterology18
Nurse Practitioner14
Pathology2

Nearest to this location (20)

See all 60
Gastroenterology
NPI 1942434659
4545 R ST #100
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.1 mi
Gastroenterology
NPI 1164416251
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1215921325
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1639152572
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.1 mi
Gastroenterology
NPI 1245224336
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.1 mi
Gastroenterology
NPI 1699935536
4545 R ST #100
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.1 mi
Gastroenterology
NPI 1548418197
4545 R ST SUITE 100
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.1 mi
Gastroenterology
NPI 1831182757
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1083400832
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1457198665
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.2 mi
Gastroenterology
NPI 1346234440
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1396901518
4545 R ST
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1295572931
4545 R ST
Lincoln, NE 68503
(402) 465-3633
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1497424071
4545 R ST STE 100
Lincoln, NE 68503
(402) 465-4545
✔ PECOS✔ Accepts Medicare1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700510336
1600 S 48TH ST
Lincoln, NE 68506
(402) 481-1111
✔ Accepts Medicare2.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053750554
575 S 70TH ST STE 305
Lincoln, NE 68510
(402) 434-5600
✔ Accepts Medicare2.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891287157
575 S 70TH ST STE 305
Lincoln, NE 68510
(402) 434-5600
✔ Accepts Medicare2.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225654395
555 S 70TH ST
Lincoln, NE 68510
(402) 434-5600
✔ Accepts Medicare2.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336713452
625 S 70TH ST
Lincoln, NE 68510
(402) 423-7774
2.8 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619083383
625 S 70TH ST
Lincoln, NE 68510
(402) 423-7774
✔ Accepts Medicare2.8 mi
See all 60 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 28D0945424

Gastroenterology Specialties Histology Lab · Lincoln, NE
Active · expires Dec 17, 2027
CLIA Number28D0945424
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorDr. Kerry L. Bernal
Laboratory Phone(402) 465-4545
Laboratory LocationGastroenterology Specialties Histology Lab4545 R Street Room 202, Lincoln, NE 68503
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 28D2022396

Gastroenterology Specialties PC Research Lab · Lincoln, NE
Active · expires Mar 31, 2027
CLIA Number28D2022396
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Paul F. Petersen MD
Laboratory Phone(402) 465-4545
Laboratory LocationGastroenterology Specialties PC Research Lab4545 R Street - 2nd Floor, Lincoln, NE 68503
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gastroenterology Specialties, P.C.'s NPI number?

The NPI number for Gastroenterology Specialties, P.C. is 1083747380. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Gastroenterology Specialties, P.C. located?

Gastroenterology Specialties, P.C. is located at 4545 R St, Lincoln, NE 68503. The listed phone number is (402) 465-4545.

What is Gastroenterology Specialties, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gastroenterology Specialties, P.C. enrolled in Medicare?

Yes. Gastroenterology Specialties, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Specialties, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 4 Medicare specialties reassign their Medicare billing to Gastroenterology Specialties, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (26), Gastroenterology (18) and Nurse Practitioner (14). Of these, 51 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gastroenterology Specialties, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Gastroenterology Specialties, P.C. accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Gastroenterology Specialties, P.C. 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 Gastroenterology Specialties, P.C. was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.