1. Home
  2. Directory
  3. Nebraska
  4. Lincoln
  5. Family Medicine
  6. NPI Profile

VITALIZE HEALTH LLC
NPI 1710540307
Family Medicine in Lincoln, NE

Active since April 18, 2019CLIA 28D2177109 · Waiver
2200 S 40TH ST STE 102, LINCOLN, NE 68506(402) 413-0717(402) 951-9763 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2024, Apr 28, 2019, Apr 18, 2019 (3 updates tracked since 2019).

About Vitalize Health Llc NPPES

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

VITALIZE HEALTH LLC (NPI 1710540307) is a healthcare organization registered as a family medicine in Lincoln, Nebraska and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists James T Stewart, Manager, as its authorized official.

NPPES Registry Identity

NPI1710540307
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITALIZE HEALTH LLC
Location Address2200 S 40TH ST STE 102Lincoln, NE 68506-2424
Mailing Address2200 S 40th St Ste 102Lincoln, NE 68506-2424 · (402) 239-2005
Phone(402) 413-0717
Fax(402) 951-9763
Organization SubpartNo
Authorized OfficialJames T StewartManager · (402) 239-2005
Enumeration DateApril 18, 2019
Last NPPES UpdateApril 19, 20243 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1710540307 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.
2200 S 40TH ST STE 102, Lincoln, NE 68506
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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)

Vitalize Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Vitalize Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Shawna Garito, APRN
Nurse Practitioner
NPI 1386274520
2200 S 40TH ST SUITE 102
Lincoln, NE 68506
(402) 413-0717
✔ PECOS✔ Accepts MedicareSame address
Grace Sloan
Nurse Practitioner
NPI 1437081221
2200 S 40TH ST STE 102
Lincoln, NE 68506
(402) 413-0717
✔ PECOSSame address
Jacqueline Stewart, APRN
Nurse Practitioner
NPI 1881827129
6030 VILLAGE DR STE 100
Lincoln, NE 68516
(402) 413-0417
✔ PECOS✔ Accepts Medicare2.7 mi
Sarah Hehn, APRN, FNP-C
Nurse Practitioner
NPI 1639634538
16934 FRANCES ST
Omaha, NE 68130
(402) 403-4330
✔ PECOS✔ Accepts Medicare40 mi
Jessica Hines, APRN, NP-C
Nurse Practitioner
NPI 1568863413
720 N WEBB RD
Grand Island, NE 68803
(308) 395-7700
✔ PECOS✔ Accepts Medicare90 mi
Raime Misko, APRN
Nurse Practitioner
NPI 1194276782
1201 N ERIE ST
Lexington, NE 68850
(308) 324-5651
✔ PECOS✔ Accepts Medicare162 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 28D2177109

Vitalize Health, LLC · Lincoln, NE
Active · expires Jan 5, 2028
CLIA Number28D2177109
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorJacqueline Stewart
Laboratory Phone(402) 413-0717
Laboratory LocationVitalize Health, LLC2200 S 40th St Suite 102, 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.

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 Vitalize Health LLC's NPI number?

The NPI number for Vitalize Health LLC is 1710540307. It was assigned to this organization in the NPPES registry on April 18, 2019.

Where is Vitalize Health LLC located?

Vitalize Health LLC is located at 2200 S 40th St Ste 102, Lincoln, NE 68506. The listed phone number is (402) 413-0717.

What is Vitalize Health LLC's specialty?

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

Is Vitalize Health LLC enrolled in Medicare?

Yes. Vitalize Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitalize Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vitalize Health LLC. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vitalize Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2177109) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vitalize Health LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Vitalize Health LLC 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 Vitalize Health LLC was last updated on April 19, 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.