Individual provider Active NPI

Jennifer M Simpson, APRN

  • Nurse Practitioner
  • Waterloo, NE
National Provider Identifier
1063854768
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111548 Issued in NE
Practice address
24110 W Dodge Rd
Waterloo, NE 68069-4705
Phone
(402) 297-4861
NPI assigned
Jul 23, 2013
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111548 NE Primary

Addresses

Primary practice location

24110 W Dodge Rd
Waterloo, NE 68069-4705

Mailing address

1340 Silver St
Ashland, NE 68003-1844
Phone (402) 277-0030

Other practice location 1

1340 Silver St
Ashland, NE 68003-1844
Phone (402) 277-0030

Other identifiers 3

IdentifierTypeStateIssuer
1063854768MedicaidIA
10026293200MedicaidNE
47068731785MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000649 NE Practitioner - Nurse Practitioner 9537303284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

717 N 190TH PLZ
Suite 3200
Elkhorn, NE 68022-3913
Phone (402) 815-1960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111548NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Physicians Clinic Inc Nurse Practitioner CurrentSince Jul 22, 2013 Accepting new patients

Locations

717 N 190th Plz
Ste 3200
Elkhorn, NE 68022
Phone (402) 815-1960

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

8601 W Dodge Rd
Ste 216
Omaha, NE 68114
Phone (402) 354-4822

101 E Centennial Rd
Papillion, NE 68046
Phone (402) 354-7750

24110 W Dodge Rd
Waterloo, NE 68069
Phone (402) 359-2277

Interoperability endpoints

  • Direct secure messaging: jennifer.simpson@direct.nmhs.org

Organizations & group practices 2

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1063854768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SILVER ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031844",
            "telephone_number": "402-277-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24110 W DODGE RD",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680694705",
            "telephone_number": "402-297-4861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Silver St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "NE",
            "postal_code": "680031844",
            "country_code": "US",
            "telephone_number": "402-277-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063854768",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026293200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731785",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, NE

Sources for this page

Verify at the official NPI Registry.