Individual provider Active NPI

Jarrett K Johnston, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1003585852
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113794 Issued in NE
Practice address
7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone
(402) 484-6677
Fax
(402) 484-4815
NPI assigned
Sep 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113794 NE Primary

Addresses

Primary practice location

7601 Pioneers Blvd
Lincoln, NE 68506-4675

Mailing address

7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone (402) 484-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112000091 NE Practitioner - Nurse Practitioner 4183016728 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Medical Imaging LLCGroup PAC ID 0840265773, 38 clinicians
Radiology Associates PCGroup PAC ID 5698735181, 33 clinicians

Practice addresses (Care Compare)

7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone (402) 484-6677

Merit-based Incentive Payment System (MIPS)

Final score
80.5 of 100Reported as group
Quality
100
Improvement activities
40
Cost
35

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fillmore County Hospital CurrentSince Dec 9, 2021 Accepting new patients
Advanced Medical Imaging, LLC CurrentSince Nov 19, 2021 Accepting new patients
Fillmore County Hospital CurrentSince Jul 1, 2015 Accepting new patients

Locations

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

1900 F St
#193
Geneva, NE 68361
Phone (402) 459-3167

7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475

7555 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 261-1085

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1003585852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 PIONEERS BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064675",
            "telephone_number": "402-484-6677",
            "fax_number": "402-484-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 PIONEERS BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064675",
            "telephone_number": "402-484-6677",
            "fax_number": "402-484-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JARRETT",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.