Active NPI
Jordan P Hiatt, PA-C
- Physician Assistant
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 6900 A St Ste 100
Lincoln, NE 68510-4120 - Phone
- (402) 436-2000
- NPI assigned
- Mar 26, 2015
- Last updated
- Oct 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
6900 A St Ste 100
Lincoln, NE 68510-4120
Mailing address
6900 A St Ste 100
Lincoln, NE 68510-4120
Phone (402) 436-2000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 475-1011
372 S 9TH St
Butler County Health Care Center
David City, NE 68632-2116
Phone (402) 367-1200
555 S 70TH St
CHI Health Saint Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-7700
575 S 70TH St
Lincoln, NE 68510-2471
Phone (402) 436-2000
6900 A St
Lincoln, NE 68510-4120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2465 | NE | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Nebraska Orthopaedic Center PC | Current | Accepting new patients |
Locations
555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000
575 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2000
6900 A St
Ste 100
Lincoln, NE 68510
Phone (402) 436-2000
215 McNeel Ln
North Platte, NE 69101
Phone (308) 534-6655
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
Interoperability endpoints
- jordan.hiatt.1@32860.direct.athenahealth.com
Organizations & group practices 3
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 Nebraska Orthopaedic Center
- Orthopaedic Surgery Physician
- Lincoln, NE
- NPI 1659349330
-
dba Great Plains Health
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
dba Great Plains Health
- Medical Oncology Physician
- North Platte, NE
- NPI 1134355332
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beatrice, NE
- NPI 1184642894
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
- Critical Access Hospital
- David City, NE
- NPI 1790780237
-
- Special Hospital
- Lincoln, NE
- NPI 1306849005
-
dba Madonna Rehabilitation Hospital Lincoln
- Rehabilitation Hospital
- Lincoln, NE
- NPI 1558458091
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1063806222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 A ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104120",
"telephone_number": "402-436-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 A ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104120",
"telephone_number": "402-436-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIATT",
"first_name": "JORDAN",
"middle_name": "P",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.