Elizabeth Marie Jacobsma

Key facts

NPI

1013339738

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

111790 (NE)

Practice address

7261 Mercy Rd
Omaha, NE 68124-2311

Phone

(180) 025-3436

NPI assigned

Jan 15, 2014

Sex

Female

Sole proprietor

No

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.

• Alegent Health Quick Care LLC Family Medicine Physician · Omaha, NE · NPI 1215066568
  Medicare reassignment Care Compare group NPD NE
• Alegent Creighton Clinic Family Medicine Physician · Omaha, NE · NPI 1548287907
  Medicare reassignment NPD NE
• Alegent Health Quick Care LLC Family Medicine Physician · Council Bluffs, IA · NPI 1083139224
  NPD
• Alegent Creighton Clinic Family Medicine Physician · Council Bluffs, IA · NPI 1598811069
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alegent Health Quick Care LLC (6 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 8, 2016.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1013339738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "180-025-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "180-025-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSMA",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

• Lauren Jacobsen
• Megan Hannah Jacobsen, OTD, OTR/L
• Paul L. Jacobsen, MD
• Rylie Madison Jacobsen
• Courtney Jacobsma
• Brandy M Jacobson, APRN
• Brynn Reilly Jacobson
• Chad Jacobson, PT
• Gabrielle Marie Jacobson, RN
• Heather L Jacobson

All providers in Omaha, NE · Family Nurse Practitioner in Nebraska