Individual provider Active NPI

Jennifer Michelle Consbruck, APRN

  • Acute Care Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1083924088
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
111173 Issued in NE
Practice address
555 S 70TH St Ste 1
Lincoln, NE 68510-2462
Phone
(402) 484-5656
NPI assigned
Oct 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111173 NE
Acute Care Nurse Practitioner 363LA2100X 111173 NE Primary

Addresses

Primary practice location

555 S 70TH St Ste 1
Lincoln, NE 68510-2462

Mailing address

6911 Van Dorn St
Suite 1
Lincoln, NE 68506-6801
Phone (402) 484-5656

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
I20101108000022 NE Practitioner - Nurse Practitioner 5193910941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Community Hospital IncGroup PAC ID 7517954944, 86 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 564-7118

555 S 70TH St
CHI Health St. Elizabeth
Lincoln, NE 68510-2462
Phone (402) 219-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
111173NEMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc CurrentSince Oct 1, 2023 Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 31, 2023 Accepting new patients
Columbus Community Hospital Inc Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
New Century Physicians of Nebraska LLC CurrentSince Mar 23, 2022 Accepting new patients
New Century Physicians of Nebraska LLC Current Accepting new patients
Heartland Surgical Services, LLC. PastSince Aug 13, 2023 Accepting new patients
Columbus General Surgery PC Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

4600 38th St
Columbus, NE 68601
Phone (402) 562-3333

705 Orleans Dr
Grand Island, NE 68803
Phone (308) 369-5359

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

555 S 70th St
Ste 1
Lincoln, NE 68510
Phone 40222781572

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

2412 Cuming St
Omaha, NE 68131
Phone (402) 449-4000

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

Interoperability endpoints

  • Direct secure messaging: jlivermore574267@achce.catholichealth.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1286582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1083924088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 VAN DORN ST",
            "address_2": "SUITE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066801",
            "telephone_number": "402-484-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 70TH ST STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102462",
            "telephone_number": "402-484-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSBRUCK",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111173",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "111173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.