PLUM CREEK MEDICAL GROUP, P.C.
NPI 1104868496
Family Medicine in Lexington, NE

Active since June 12, 2006CLIA 28D0455988 · Waiver
1103 BUFFALO BND, LEXINGTON, NE 68850(308) 324-6386(308) 324-6913 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Plum Creek Medical Group, P.c. NPPES

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

PLUM CREEK MEDICAL GROUP, P.C. (NPI 1104868496) is a healthcare organization registered as a family medicine in Lexington, Nebraska and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists James Naeve, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104868496
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLUM CREEK MEDICAL GROUP, P.C.
Location Address1103 BUFFALO BNDLexington, NE 68850-1528
Mailing Address1103 Buffalo Bnd, Po Box 797Lexington, NE 68850-1528 · (308) 324-6386 · Fax (308) 324-6913
Fax(308) 324-6913
Organization SubpartNo
Authorized OfficialJames NaeveAdministrator · (308) 324-6386
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 12, 2014
✔ NPI 1104868496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1103 BUFFALO BND, Lexington, NE 68850

Other Identifiers 4

Other01950NE · Blue Cross/blue Shield Ne
Medicare ID-Type Unspecified092657NE
Medicare NSC0659310001NE
Medicaid=========13NE

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)

Plum Creek Medical Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Plum Creek Medical Group, P.C., which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mental Health Counselor
NPI 1669141800
1103 BUFFALO BEND 797
Lexington, NE 68850
(308) 324-6386
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1063940872
1103 BUFFALO BND
Lexington, NE 68850
(308) 324-6386
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1265476741
1103 BUFFALO BND
Lexington, NE 68850
(308) 324-6386
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1174567572
1103 BUFFALO BND
Lexington, NE 68850
(308) 324-6386
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1144880204
4600 VALLEY RD STE 200
Lincoln, NE 68510
(402) 483-4571
✔ PECOS✔ Accepts Medicare163 mi

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

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 28D0455988

Plum Creek Medical Group · Lexington, NE
Active · expires Feb 28, 2027
CLIA Number28D0455988
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorJoseph S. Miller
Laboratory Phone(308) 324-6386
Laboratory LocationPlum Creek Medical Group1103 Buffalo Bnd PO Box 797, Lexington, NE 68850
CLIA data matches this NPI record on: Address Name 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 Plum Creek Medical Group, P.C.'s NPI number?

The NPI number for Plum Creek Medical Group, P.C. is 1104868496. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Plum Creek Medical Group, P.C. located?

Plum Creek Medical Group, P.C. is located at 1103 Buffalo Bnd, Lexington, NE 68850. The listed phone number is (308) 324-6386.

What is Plum Creek Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Plum Creek Medical Group, P.C. enrolled in Medicare?

Yes. Plum Creek Medical Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plum Creek Medical Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Plum Creek Medical Group, 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 Family Practice (3) and Mental Health Counselor (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Plum Creek Medical Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0455988) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Plum Creek Medical Group, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Plum Creek Medical Group, 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 Plum Creek Medical Group, P.C. was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.