Individual provider Active NPI

Thomas Jeffrey, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1043730872
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1983 Issued in NE
Practice address
6825 S 27TH St Ste 201
Lincoln, NE 68512-4872
Phone
(402) 434-5235
Fax
(402) 489-2137
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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 1983 NE Primary

Addresses

Primary practice location

6825 S 27TH St Ste 201
Lincoln, NE 68512-4872

Mailing address

1015 Twin Ridge Rd
Lincoln, NE 68510-5056
Phone (402) 429-5292

Other identifiers 1

IdentifierTypeStateIssuer
10026566000MedicaidNE

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
I20170809002228 NE Practitioner - Nurse Practitioner 5799056750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health and Wellness Center, P.C.Group PAC ID 5698066686, 5 clinicians

Practice addresses (Care Compare)

6825 S 27TH St
Suite 201
Lincoln, NE 68512-4872
Phone (402) 434-5235

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1983NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health & Wellness Center, P.C. CurrentSince Jul 25, 2017 Accepting new patients

Locations

6825 S 27th St
Ste 201
Lincoln, NE 68512
Phone (402) 434-5235

Interoperability endpoints

  • Direct secure messaging: tjeffrey@fhwc.gwaydirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1043730872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 TWIN RIDGE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685105056",
            "telephone_number": "402-429-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 S 27TH ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685124872",
            "telephone_number": "402-434-5235",
            "fax_number": "402-489-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "THOMAS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026566000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.