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Pine Lake Health LLC

Q: What is the NPI number for Pine Lake Health LLC?

The NPI for Pine Lake Health LLC is 1417908666, a Type 2 (organization) record in the CMS NPPES registry.

Family Medicine Physician in Lincoln, NE · enumerated 2006 · authorized official Matthew Glenn, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417908666

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Registry record

Entity type Organization (Type 2)

Legal business name Pine Lake Health LLC

Practice address 2611 S 70th St, Lincoln, NE, 68506

Phone (402) 423-4200

Fax (402) 423-4201

Enumeration date May 12, 2006

Last updated in NPPES Aug 30, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Matthew Glenn

Title President

Phone (402) 423-4200

Other identifiers

Identifier	Type	State	Issuer
02800	Other	NE	BCBS
10025371800	Medicaid	NE	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Pine Lake Health LLC?

The NPI for Pine Lake Health LLC is 1417908666, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Pine Lake Health LLC?

NPPES lists Matthew Glenn (President) as the authorized official for this organization.

Providers at this address

Browse all →

Linda Kroeger Family Medicine Physician · Lincoln, NE NPI 1033188321 Matthew Glenn Family Medicine Physician · Lincoln, NE NPI 1225080419 Ross Internal Medicine PC Internal Medicine Physician · Lincoln, NE NPI 1518164243 Kylie Parshall Family Medicine Physician · Lincoln, NE NPI 1023407350 Megan Skradis Nurse Practitioner · Lincoln, NE NPI 1750911020 Alyson Ferguson Family Nurse Practitioner · Lincoln, NE NPI 1952971822

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-30.