Lakeside Ambulatory Surgical Center LLC
NPI 1528026788 · Ambulatory Surgical Clinic/Center · Omaha, NE
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Ambulatory Surgical Center LLC is a Ambulatory Surgical Clinic/Center organization in Omaha, NE (NPI 1528026788).
Provider details
- NPI number
- 1528026788
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Wagner, Ceo(402) 758-5212
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
22,709 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection, Bupivacaine Liposome, 1 MgC9290 | 22,477 | $1 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 55 | $8,713 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 41 | $8,616 |
| Removal of Membrane of Retina With Removal of Internal Limiting Membrane of Retina67042 | 32 | $1,940 |
| Removal of Membrane of Retina67041 | 27 | $1,969 |
| Repair of Detached Retina With Drainage and Removal of Eye Fluid Between Lens and Retina67108 | 24 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Lakeside Ambulatory Surgical Center LLC's NPI number?
- Lakeside Ambulatory Surgical Center LLC's National Provider Identifier (NPI) is 1528026788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Ambulatory Surgical Center LLC?
- Lakeside Ambulatory Surgical Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Ambulatory Surgical Center LLC located?
- Lakeside Ambulatory Surgical Center LLC's practice location on file with NPPES is 17030 Lakeside Hills Plz Ste 110, Omaha, NE 68130-2440.
- What is Lakeside Ambulatory Surgical Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Ambulatory Surgical Center LLC is (402) 758-5120.
- Does Lakeside Ambulatory Surgical Center LLC accept Medicare?
- Lakeside Ambulatory Surgical Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Ambulatory Surgical Center LLC?
- The authorized official listed on Lakeside Ambulatory Surgical Center LLC's NPPES record is Alicia Wagner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Ambulatory Surgical Center LLC's NPI active?
- Yes — Lakeside Ambulatory Surgical Center LLC's NPI (1528026788) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.