ROBERT WILLIAM LUNDHOLM APRN
NPI 1356627244
Nurse Practitioner - Psychiatric/Mental Health in Omaha, NE

Active since October 24, 2011PECOS EnrolledAccepts Medicare Assignment
6910 PACIFIC STREET, SUITE 100, OMAHA, NE 68106(402) 504-3707(402) 504-3714 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert William Lundholm Aprn NPPES

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

ROBERT WILLIAM LUNDHOLM APRN (NPI 1356627244) is an individual psychiatric/mental health provider in Omaha, Nebraska, licensed in Nebraska (111311) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1356627244
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROBERT WILLIAM LUNDHOLMCredential: APRN
Location Address6910 PACIFIC STREET, SUITE 100Omaha, NE 68106-1044
Mailing Address6910 Pacific Street, Suite 100Omaha, NE 68106-1044 · (402) 504-3707 · Fax (402) 504-3714
Fax(402) 504-3714
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 24, 2011
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1356627244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NE · 111311
6910 PACIFIC STREET, Omaha, NE 68106

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert William Lundholm Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123292661
PECOS Enrollment IDI20111121000057
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Robert Lundholm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
6910 PACIFIC ST STE 100
Omaha, NE 68106
  • Reassigned Medicare billing, Nebraska enrollment
  • 2 clinicians in this Medicare group
Psychiatry
233 S 13TH ST STE 1100
Lincoln, NE 68508
  • Reassigned Medicare billing, Nebraska enrollment
  • 6 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Robert Lundholm's NPI number?

The NPI number for Robert Lundholm is 1356627244. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Robert Lundholm located?

Robert Lundholm practices at 6910 Pacific Street Suite 100, Omaha, NE 68106. The listed phone number is (402) 504-3707.

What is Robert Lundholm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Robert Lundholm enrolled in Medicare?

Yes. Robert Lundholm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robert Lundholm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Lundholm reassigns Medicare benefits to 2 organizations: Mary Jo Hanigan M.D., P.C. (Omaha, NE) and Geode Health Of The Midwest LLC (Lincoln, NE). Each 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 Robert Lundholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Lundholm accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Robert Lundholm 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 Robert Lundholm was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.