Jacob Blaine Fleecs, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

81598 Issued in WI

Practice address

3610 Richmond Cir Ste 100
Grand Island, NE 68803-3910

Phone

(308) 398-6400

Fax

(308) 398-6408

NPI assigned

Apr 2, 2018

Last updated

May 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MO, NE3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

University of Nebraska College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians

Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians

Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians

CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
• CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023
• Boone County Health Center Hospital, Albion, NE, CCN 281334
• Community Medical Center, Inc Hospital, Falls City, NE, CCN 281352
• Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

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

• Grand Island Radiology Associates PC

  dba Heartland Radiology

  • Diagnostic Radiology Physician
  • Grand Island, NE
  • NPI 1932136405
  Medicare reassignment Care Compare group NPD
• Great Plains Radiology LLC

  dba Kearney Radiologists

  • Diagnostic Radiology Physician
  • Kearney, NE
  • NPI 1427089838
  Medicare reassignment Care Compare group NPD
• Plains Radiology Services LLC

  dba Universal Imaging Services

  • Diagnostic Radiology Physician
  • Grand Island, NE
  • NPI 1164677126
  Medicare reassignment Care Compare group NPD
• CHI Health Clinic Specialty, LLC

  • Hospitalist Physician
  • Lincoln, NE
  • NPI 1285138065
  Medicare reassignment Care Compare group
• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361
  Medicare reassignment NPD
• Group Health Cooperative of South Central Wisconsin

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1245260165
  Medicare reassignment NPD
• Richland Hospital

  • Critical Access Hospital
  • Richland Center, WI
  • NPI 1659301273
  Medicare reassignment NPD
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257
  Medicare reassignment NPD
• Fort Healthcare Inc

  • Rural Health Clinic/Center
  • Fort Atkinson, WI
  • NPI 1417450115
  NPD
• Richland Hospital

  dba Community Pharmacy at The Richland Hospital

  • Community/Retail Pharmacy
  • Richland Center, WI
  • NPI 1558127480
  NPD
• Richland Hospital

  dba Spring Green Medical Center

  • Rural Health Clinic/Center
  • Spring Green, WI
  • NPI 1952094138
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boone County Health Center

  • Critical Access Hospital
  • Albion, NE
  • NPI 1679508816
  Care Compare affiliation
• Bryan Hospital Kearney

  dba Kearney Regional Medical Center

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  Care Compare affiliation
• Community Medical Center, Inc.

  • Critical Access Hospital
  • Falls City, NE
  • NPI 1881643484
  Care Compare affiliation
• Good Samaritan Hospital

  dba CHI Health Richard Young Behavioral Health

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  Care Compare affiliation
• Good Samaritan Hospital

  dba CHI Health Good Samaritan

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1336184019
  Care Compare affiliation
• Saint Francis Medical Center

  dba CHI Health St. Francis

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1982675955
  Care Compare affiliation

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1043716954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1725",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688021725",
            "telephone_number": "308-398-6400",
            "fax_number": "308-398-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 RICHMOND CIR STE 100",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033910",
            "telephone_number": "308-398-6400",
            "fax_number": "308-398-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEECS",
        "first_name": "JACOB",
        "middle_name": "BLAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "81598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannan K Fisher, CNA, CMA
• Taylor Camille Fisher, OT
• Five Star Quality Care-NE LLC (Wedgewood Care Center)
• Andrew Patrick Flaherty, OTA
• John Patrick Flaherty, M.A. LPC
• Liseidy Fleites Larralde
• Karen Flessner
• Brandon Fletcher
• Lynn Ellen Flint Widdifield, LIMHP ATR-BC
• Christopher Flora-Tostado, PHD, MED

• Diagnostic Radiology Physician in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.