Jason L Peterson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113843 Issued in NE

Practice address

2910 Betten Dr
Crete, NE 68333-3084

Phone

(402) 826-2102

NPI assigned

Oct 12, 2021

Last updated

Jun 25, 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 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crete Area Medical CenterGroup PAC ID 4385556216, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crete Area Medical Center Hospital, Crete, NE, CCN 281354

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpeterson158055@hisp.bryanhealth.org

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.

• Crete Area Medical Center

  • Critical Access Hospital
  • Crete, NE
  • NPI 1063463958
  Medicare reassignment NPD
• Crete Area Medical Center

  • Family Medicine Physician
  • Crete, NE
  • NPI 1245281138
  Medicare reassignment NPD
• Crete Area Medical Center

  dba Friend Medical Clinic

  • Rural Health Clinic/Center
  • Friend, NE
  • NPI 1699217588
  NPD
• Heartland Urgent Care LP

  • Urgent Care Clinic/Center
  • Lincoln, NE
  • NPI 1922339134
  NPD
• Crete Area Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Crete, NE
  • NPI 1518918408
  NPD (past)

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

• Crete Area Medical Center

  • Critical Access Hospital
  • Crete, NE
  • NPI 1063463958
  Care Compare affiliation

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1063174597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683330220",
            "telephone_number": "402-826-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BETTEN DR",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683333084",
            "telephone_number": "402-826-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Perez
• Susana Perez
• Dianne Pernicek
• Tessa Petereit, ED.S., NCSP
• Toni Peters
• Taylor Phipps, DC
• Traci Ann Phipps, MASSAGE THERAPIST
• Denyel Crist Phoenix
• Benjamin Piper, LIMHP, LPC
• Dixie Ruthann Placek, MA, LIMHP, LIMFT

• Family Nurse Practitioner in Crete, NE
• Providers in Crete, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.