Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Psychiatric Group, LLC

Organization Physician Assistant · NPI 1740679463

Genesis Psychiatric Group, LLC is a Physician Assistant in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2015.

Licensed in
NE
In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2130 S 17th St Ste 100
Lincoln, NE 68502-3750
Phone: (402) 540-6365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 110205 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 965 (NE)

Record details

NPI number1740679463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Lemon — Owner · (402) 540-6365
NPI enumeratedJanuary 19, 2015
Last updated in NPPESFebruary 19, 2015
Mailing address1920 Perkins Blvd, Lincoln, NE 68502-3934

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