Individual provider Active NPI

Jocelyn Tierney

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1104432863
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116784 Issued in NE
Practice address
643 Fallbrook Blvd Ste 105
Lincoln, NE 68521-9142
Phone
(402) 276-5160
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 116784 NE Primary
Chiropractor 111N00000X 2023 NE

Addresses

Primary practice location

643 Fallbrook Blvd Ste 105
Lincoln, NE 68521-9142

Mailing address

2646 W Garfield St
Lincoln, NE 68522-4448
Phone (402) 276-5160

Other practice location 1

2646 W Garfield St
Lincoln, NE 68522-4448
Phone (402) 276-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 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
I20200930002078 NE Practitioner - Chiropractic 5991124539 Reassigns benefits to 2 organizations
I20260624003803 NE Practitioner - Nurse Practitioner 5991124539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Move.Ment PC Chiropractic and Integrative WellnessGroup PAC ID 1759370836, 2 clinicians

Practice addresses (Care Compare)

643 Fallbrook Blvd
Suite 105
Lincoln, NE 68521-9142
Phone (402) 261-7744

8421 Amber Hill CT
Suite 2
Lincoln, NE 68526-6043
Phone (402) 489-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023NEMDChiropractor
116784NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JTB Medical, LLC Family CurrentSince May 17, 2026 Accepting new patients
Tierney Ballentine Health, LLC Chiropractor CurrentSince May 27, 2026 Accepting new patients
Move.Ment, P.C. Chiropractic and Integrative Wellness Chiropractor CurrentSince Sep 24, 2020 Accepting new patients

Locations

8421 Amber Hill Ct
Ste 2
Lincoln, NE 68526
Phone (402) 489-8880

643 Fallbrook Blvd
Ste 105
Lincoln, NE 68521
Phone (402) 276-5160

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1104432863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 W GARFIELD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685224448",
            "telephone_number": "402-276-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 FALLBROOK BLVD STE 105",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219142",
            "telephone_number": "402-276-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2646 W Garfield St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685224448",
            "country_code": "US",
            "telephone_number": "402-276-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116784",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.