Individual provider Active NPI

Jay R Arthur, PA-C

  • Medical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1083970040
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1628 Issued in NE
Practice address
6969 South St
Lincoln, NE 68506-2835
Phone
(402) 413-7460
Fax
(402) 413-7486
NPI assigned
Apr 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1628 NE
Medical Physician Assistant 363AM0700X 1628 NE Primary

Addresses

Primary practice location

6969 South St
Lincoln, NE 68506-2835

Mailing address

6969 South St
Lincoln, NE 68506-2835
Phone (402) 413-7460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120509000282 NE Practitioner - Physician Assistant 1153583133 Reassigns benefits to 1 organization
I20150826000201 OR Practitioner - Physician Assistant 1153583133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Lincoln, LLCGroup PAC ID 0840629242, 5 clinicians

Practice addresses (Care Compare)

6969 S St
Lincoln, NE 68506-2835
Phone (402) 413-7460

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as individual
Quality
91.19
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jarthur@dermassociatesoflincoln.emadirect.md

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 and National Provider Directory roles.

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1083970040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062835",
            "telephone_number": "402-413-7460",
            "fax_number": "402-413-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062835",
            "telephone_number": "402-413-7460",
            "fax_number": "402-413-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "JAY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1628",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.