Jeana Kay Ahlers, PA-C
Individual provider Active NPI Physician Assistant · Norfolk, NE
NPI 1043498314 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1043498314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1372 (NE)
- Practice address
- 305 N 37TH St
Norfolk, NE 68701-3275 - Phone
- (402) 370-4100
- Fax
- (402) 370-4101
- NPI assigned
- Feb 8, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080422000279 | NE | Practitioner - Physician Assistant | 0941388656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1372 | NE | MD | Occupational Therapist |
Interoperability endpoints
- jeana.ahlers.1@15917.direct.athenahealth.com
- https://api.platform.athenahealth.com/19135/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1372 | NE | Yes |
Addresses
Primary practice location
305 N 37TH St
Norfolk, NE 68701-3275
Mailing address
305 N 37TH St
Norfolk, NE 68701-3275
Phone (402) 370-4100
Other names
- Ms. Jeana Kay Simons
Other providers in Norfolk, NE
- Advanced Chiropractic and Wellness, P.C.
- Aegis Group Practice LLC
- Emily Christian Afrank
- Andrea Aguilar
- Jordan James Ahl
- Ahp-MHR Home Care, LLP
- Cameron Mathias Aitken
- Sharlet Akers
- Cheyenne S Akes
- Enas Al Zaghal
All providers in Norfolk, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.