Individual provider Active NPI

Brandy M Jacobson, APRN

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1053046086
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114807 Issued in NE
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, NJ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230622002746 NE Practitioner - Nurse Practitioner 8224496260 Reassigns benefits to 1 organization
I20240806003580 NJ Practitioner - Nurse Practitioner 8224496260 Reassigns benefits to 2 organizations
I20251009002633 TX Practitioner - Nurse Practitioner 8224496260 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
114807NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical CurrentSince Jul 1, 2024 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Dec 1, 2024 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2024 Accepting new patients
Think Aksarben, LLC CurrentSince Aug 1, 2023 Accepting new patients
Winnie Community Hospital LLC Current Accepting new patients
Winnie Community Hospital, L.L.C. Family CurrentSince Jul 26, 2025 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Jul 26, 2025 Accepting new patients
Etx Medical Group, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.