Individual provider Active NPI

Alan D Jensen, MD

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1053495614
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17820 Issued in NE
Practice address
8761 West Center Rd
Suite B
Omaha, NE 68124-2109
Phone
(402) 397-6060
Fax
(402) 398-0336
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17820 NE Primary

Addresses

Primary practice location

8761 West Center Rd
Suite B
Omaha, NE 68124-2109

Mailing address

8761 West Center Rd
Suite B
Omaha, NE 68124-2109
Phone (402) 397-6060

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000449 NE Practitioner - Internal MedicinePractitioner - Psychiatry 8628001054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Psychiatry
Education
University of Nebraska College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8761 W Ctr Rd
Suite B
Omaha, NE 68124-2166
Phone (402) 397-6060

8761 W Ctr Rd B
Omaha, NE 68124-2166

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eon Care Clinicians PC CurrentSince Jan 4, 2026 Accepting new patients
Bellevue Primary Healthcare PC CurrentSince Sep 15, 2022 Accepting new patients
Ogden Family Medicine, P.C. Past Accepting new patients

Locations

1320 Galvin Rd S
Bellevue, NE 68005
Phone (402) 603-0839

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alan.jensen.1@7530.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1053495614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 WEST CENTER RD",
            "address_2": "SUITE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242109",
            "telephone_number": "402-397-6060",
            "fax_number": "402-398-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 WEST CENTER RD",
            "address_2": "SUITE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242109",
            "telephone_number": "402-397-6060",
            "fax_number": "402-398-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ALAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "17820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.