WESTERN NEBRASKA UROLOGY LLC
NPI 1720162993
Urology in Scottsbluff, NE

NPI Status: Active since October 24, 2006

Contact Information

2 WEST 42ND STREET
SUITE 3600
SCOTTSBLUFF, NE
ZIP 69361
Phone: (308) 630-2450
Fax: (308) 630-2492

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  • Organization
  • Urology
  • CLIA Number: 28D0047978
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About WESTERN NEBRASKA UROLOGY LLC

This page provides the complete NPI Profile along with additional information for Western Nebraska Urology Llc, a provider established in Scottsbluff, Nebraska operating as a Urology. The healthcare provider is registered in the NPI registry with number 1720162993 assigned on October 2006. The practitioner's primary taxonomy code is 208800000X with license number 22723 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shawn Michael Acino Md Pacs (President)

NPI
1720162993
Provider Name
WESTERN NEBRASKA UROLOGY LLC
Entity Type
Organization
Location Address
2 WEST 42ND STREET SUITE 3600 SCOTTSBLUFF, NE 69361
Location Phone
(308) 630-2450
Location Fax
(308) 630-2492
Mailing Address
2 WEST 42ND STREET SUITE 3600 SCOTTSBLUFF, NE 69361
Mailing Phone
(308) 630-2450
Mailing Fax
(308) 630-2492
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
22723
License State
IL
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAWN MICHAEL ACINO MD PACS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(308) 630-2450

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
241716OTHER (01)MIDLANDS CHOICE
07283OTHER (01)NEBLUE CROSS
10025264700MEDICAID (05)NE 
DD6108OTHER (01)RR MCARE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D0047978
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MS. AMBER LYNN KLEIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Western Nebraska Urology Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720162993, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 2 + 6 + 4 + 9 + 1 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1720162993.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720162993, enumerated as an "organization" on October 24, 2006.

The provider is located at 2 WEST 42ND STREET SUITE 3600 SCOTTSBLUFF, NE 69361 and the phone number is (308) 630-2450.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.