Active NPI
Brandy M Jacobson, APRN
- Family Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 114807
- Practice address
- 7100 West Center Road
Omaha, NE 68106-2714 - Phone
- (402) 506-9000
- Fax
- (402) 506-9001
- NPI assigned
- Jul 22, 2022
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 114807 | NE | Primary |
Addresses
Primary practice location
7100 West Center Road
Omaha, NE 68106-2714
Mailing address
7100 West Center Road
Omaha, NE 68106-2714
Phone (402) 506-9000
Other practice location 1
805 Vannornam Dr
Bellevue, NE 68005-2556
Phone (409) 466-6974
Other names 1
- Brandy Michelle Baltrip
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, NJ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 Bayou Bend PL
Beaumont, TX 77706-2752
2710 S 11TH St
Beaumont, TX 77701-7601
4695 Collier St
Apt 10
Beaumont, TX 77706-6903
538 Broadway
Winnie, TX 77665-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114807 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Irish Medical | Current | Accepting new patients | |
| The Radiology Group of New Jersey, LLC | Current | Accepting new patients | |
| DRX Paramus, LLC | Current | Accepting new patients | |
| Think Aksarben, LLC | Current | Accepting new patients | |
| Winnie Community Hospital LLC | Current | Accepting new patients | |
| Winnie Community Hospital, L.L.C. | Family | Current | Accepting new patients |
| Winnie Community Hospital, L.L.C. | Current | Accepting new patients | |
| Etx Medical Group, PLLC | Current | Accepting new patients | |
| Monmouth Digestive Health LLC | Past | Accepting new patients | |
| Winnie Community Hospital, LLC | Past | Accepting new patients |
Locations
7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000
2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333
145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333
57 US Highway 46
Ste 212
Hackettstown, NJ 07840
651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161
175 High St
Newton, NJ 07860
Phone (973) 383-2121
67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010
120 Cedar Grove Ln
Somerset, NJ 08873
Phone (732) 271-1220
4310 Dowlen Rd
Ste 16
Beaumont, TX 77706
Phone (409) 299-4448
85 Interstate 10 N
Ste 112
Beaumont, TX 77707
Phone (409) 239-5139
20925 Ih 10
Vidor, TX 77662
Phone (409) 769-2295
538 Broadway
Winnie, TX 77665
Phone (409) 296-6000
Interoperability endpoints
- brandybaltrip@thinkaks.allscriptsdirect.net
Organizations & group practices 10
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.
-
dba Think Whole Person Healthcare
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1316357676
-
dba EastEx Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1629669684
-
dba The Medical Group of New Jersey
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
dba Riceland Pain Clinic
- Interventional Pain Medicine Physician
- Nederland, TX
- NPI 1316623481
-
dba Riceland Clinic
- Primary Care Nurse Practitioner
- Vidor, TX
- NPI 1376937003
Family
-
dba Winnie Community Clinic
- Emergency Medicine Physician
- Winnie, TX
- NPI 1548395213
-
- Gastroenterology Physician
- Eatontown, NJ
- NPI 1831721232
-
dba Winnie Community Clinic
- Rural Health Clinic/Center
- Winnie, TX
- NPI 1891820569
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1053046086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 WEST CENTER ROAD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062714",
"telephone_number": "402-506-9000",
"fax_number": "402-506-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 WEST CENTER ROAD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062714",
"telephone_number": "402-506-9000",
"fax_number": "402-506-9001"
}
],
"practiceLocations": [
{
"address_1": "805 Vannornam Dr",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "NE",
"postal_code": "680052556",
"country_code": "US",
"telephone_number": "409-466-6974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSON",
"first_name": "BRANDY",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "114807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "BALTRIP",
"middle_name": "MICHELLE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.