OrganizationActive
Lakeside Orthopedics PC
NPI 1417149741 · Customized Equipment (DME) · Omaha, NE
Provider details
- NPI number
- 1417149741
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Nancy Mickelson, Office Manager(402) 758-5690
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16909 Lakeside Hills Ct
Suite 208
Omaha, NE 68130-4664
Phone: (402) 758-5690
Fax: (402) 758-5699
Street-level locationGet directions
Mailing address
16909 Lakeside Hills Ct
Omaha, NE 68130-4664
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2007-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.