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PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, PC
NPI 1174243489
Durable Medical Equipment & Medical Supplies in Lincoln, NE

Active since August 29, 2022CLIA 28D2322860 · Waiver
5901 N 28TH ST, LINCOLN, NE 68504(402) 489-4700(402) 489-5220 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prairie Orthopaedic & Plastic Surgery, Pc NPPES

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

PRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, PC (NPI 1174243489) is a healthcare organization registered as a durable medical equipment & medical supplies in Lincoln, Nebraska and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Patrick T Hurlbut, President, as its authorized official.

NPPES Registry Identity

NPI1174243489
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRAIRIE ORTHOPAEDIC & PLASTIC SURGERY, PC
Location Address5901 N 28TH STLincoln, NE 68504-9820
Mailing Address4130 Pioneer Woods Dr Ste 1Lincoln, NE 68506-7552 · (402) 489-4700 · Fax (402) 489-5220
Phone(402) 489-4700
Fax(402) 489-5220
Organization SubpartYes
Authorized OfficialPatrick T HurlbutPresident · (402) 489-4700
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1174243489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
5901 N 28TH ST, Lincoln, NE 68504
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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 28D2322860

Prairie Orthopaedic & Plastic Surgery, PC · Lincoln, NE
Active · expires Apr 27, 2027
CLIA Number28D2322860
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorGustavo Machado
Laboratory Phone(402) 489-4700
Laboratory LocationPrairie Orthopaedic & Plastic Surgery, PC4130 Pioneer Woods Dr Ste 1, Lincoln, NE 68506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DEBRA RODGERS-OLSON PT
Physical Therapist
5901 N 28TH ST
LINCOLN, NE 68504
Lancaster County (402) 489-4700

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 Prairie Orthopaedic & Plastic Surgery, PC's NPI number?

The NPI number for Prairie Orthopaedic & Plastic Surgery, PC is 1174243489. It was assigned to this organization in the NPPES registry on August 29, 2022.

Where is Prairie Orthopaedic & Plastic Surgery, PC located?

Prairie Orthopaedic & Plastic Surgery, PC is located at 5901 N 28th St, Lincoln, NE 68504. The listed phone number is (402) 489-4700.

What is Prairie Orthopaedic & Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Prairie Orthopaedic & Plastic Surgery, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2322860) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prairie Orthopaedic & Plastic Surgery, PC was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.