DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.) – Anesthesiology Physician, NPI 1073578282

DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 23246 (NE). The NPI Number for DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.) is 1073578282

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.)
NPI
1073578282
Phone
(402) 572-6500
Address
6465 NORTHERN HILLS DR
Enumeration Date
19 April 2006
Last Update Date
20 October 2008

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4027174866
Graduation Year
2001 (25 years ago)
PAC ID
0244267664
Group Practice PAC ID
2264794569
Professional Enrollment ID
I20050718000705
Address ID
NE681242319OM7500XRDXX315
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

340 ANESTHESIOLOGY in NE

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Provider Addresses for DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.)

  • 6465 NORTHERN HILLS DR

    OMAHA, NE 681521041

    Phone: (402) 572-6500

    Fax: (402) 572-6501

    Type: Mailing

  • CHI Health Lakeside, 16901, Lakeside Hills Court, Millard, Omaha, Douglas County, Nebraska, 68130, United States

    OMAHA, NE 681302318

    Phone: (402) 572-6500

    Fax: (402) 572-6501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050718000705IAnesthesiologyNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68152)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264794569View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NE
A N E S T H E S I O L O G YNE
A N E S T H E S I O L O G YNE
-NE
Certified Registered Nurse Anesthetist (Crna)NE
-IA
Certified Registered Nurse Anesthetist (Crna)IA
A N E S T H E S I O L O G YNE
A N E S T H E S I O L O G YNE
-NE

Reviews

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Frequently asked questions

Is DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.) listed with a National Provider Identifier?
Yes — DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.) has NPI 1073578282 on file in the registry.
Active or inactive — what applies to DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.)?
You should see DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.)?
DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.)?
Travel planning: use Omaha, Nebraska as the reference point for DR. NICHOLAS NATHANIEL LIEBENTRITT (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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