Individual provider Active NPI

Jacqueline M Stanzel, APRN

  • Primary Care Nurse Practitioner
  • Elkhorn, NE
National Provider Identifier
1104465491
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
112984 Issued in NE
Practice address
1314 N 205TH St Ste B
Elkhorn, NE 68022-4753
Phone
(402) 577-0001
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 112984 NE Primary

Addresses

Primary practice location

1314 N 205TH St Ste B
Elkhorn, NE 68022-4753

Mailing address

450 E 23Rd St
Fremont, NE 68025-2303
Phone (402) 721-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20200218001280 NE Practitioner - Nurse Practitioner 4688001464 Reassigns benefits to 15 organizations
I20220630000197 IA Practitioner - Nurse Practitioner 4688001464 Reassigns benefits to 18 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saunders Medical CenterGroup PAC ID 2567371784, shared by 4 NPIs, 31 clinicians
Madison County Memorial HospitalGroup PAC ID 6002727179, shared by 5 NPIs, 42 clinicians
Ringgold County HospitalGroup PAC ID 7315849973, shared by 4 NPIs, 32 clinicians
Clarke County Public HospitalGroup PAC ID 1951219328, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

1760 County Rd J
Wahoo, NE 68066-4152
Phone (402) 443-4191

21444 Pacific St
Elkhorn, NE 68022-2028
Phone (402) 616-6898

300 W Hutchings St
Winterset, IA 50273-2104
Phone (515) 462-2373

504 N Cleveland St
Mount Ayr, IA 50854-2201
Phone (641) 464-3226

800 S Fillmore St
Osceola, IA 50213-1694

Hospital & facility affiliations

  • York General Health Care Services Hospital, York, NE, CCN 281336
  • Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355
  • Ringgold County Hospital Hospital, Mount Ayr, IA, CCN 161373
  • Clarke County Hospital Hospital, Osceola, IA, CCN 161348
  • Madison County Health Care System Hospital, Winterset, IA, CCN 161326

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke County Public Hospital Current Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Madison County Memorial Hospital CurrentSince Jul 4, 2022 Accepting new patients
Monroe County Hospital Current Accepting new patients
Montgomery County Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Hamilton County Public Hospital CurrentSince Mar 31, 2025 Accepting new patients
Montgomery County Memorial Hospital CurrentSince Nov 1, 2024 Accepting new patients
Cass County Memorial Hospital CurrentSince Nov 10, 2022 Accepting new patients
Monroe County Hospital Current Accepting new patients
Community Medical Center, Inc. CurrentSince Nov 27, 2023 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Dec 15, 2025 Accepting new patients
Methodist Fremont Health CurrentSince Mar 1, 2020 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Hamilton County Public Hospital Current Accepting new patients
Sacred Heart Health Services CurrentSince Mar 21, 2023 Accepting new patients
Clarke County Public Hospital CurrentSince Mar 5, 2025 Accepting new patients
Saunders Medical Center CurrentSince Jun 10, 2023 Accepting new patients
Madison County Memorial Hospital CurrentSince Jul 4, 2022 Accepting new patients
Garden County Hospital & Nursing Home CurrentSince Jul 28, 2024 Accepting new patients
Down Home Health LLC Primary Care CurrentSince Jan 1, 2022 Accepting new patients
Saunders Medical Center CurrentSince Jun 10, 2023 Accepting new patients
Garden County Hospital & Nursing Home CurrentSince Jul 28, 2024 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Nov 20, 2023 Accepting new patients
Sacred Heart Health Services CurrentSince Mar 21, 2023 Accepting new patients
York General Hospital CurrentSince Jan 14, 2026 Accepting new patients
Harlan County Health System Current Accepting new patients
Clarke County Public Hospital CurrentSince Mar 5, 2025 Accepting new patients
Harlan County Health System CurrentSince Mar 8, 2022 Accepting new patients
Ringgold County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Hamilton County Public Hospital Current Accepting new patients
Avera Holy Family Current Accepting new patients
York General Hospital CurrentSince Jan 14, 2026 Accepting new patients
Cass County Memorial Hospital Current Accepting new patients
Ringgold County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Cass County Memorial Hospital CurrentSince Nov 10, 2022 Accepting new patients
Regional West Garden County CurrentSince Aug 17, 2023 Accepting new patients
York General Hospital Current Accepting new patients
Knoxville Community Hospital Inc CurrentSince Oct 30, 2022 Accepting new patients
Saunders Medical Center Current Accepting new patients
Ringgold County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Nov 20, 2023 Accepting new patients
Ringgold County Hospital Current Accepting new patients
Hamilton County Public Hospital CurrentSince Mar 31, 2025 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Knoxville Community Hospital Inc CurrentSince Oct 30, 2022 Accepting new patients
York General Hospital Past Accepting new patients
Community Medical Center, Inc. Past Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

800 S Fillmore St
Ste A
Osceola, IA 50213
Phone (641) 342-2128

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

717 Brown St
Alma, NE 68920
Phone (308) 928-2151

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

1503 Main St
Creighton, NE 68729
Phone (402) 358-5700

1314 N 205th St
Ste B
Elkhorn, NE 68022
Phone (402) 403-9668

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

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

16901 Wright Plz
Ste 183
Omaha, NE 68130
Phone (402) 334-0840

1100 W 2nd St
Oshkosh, NE 69154
Phone (308) 772-3283

1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
  • Direct secure messaging: jstanzel258881@uihcdirect.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/
  • Direct secure messaging: jacqueline.stanzel.p1@direct.rwgcrhc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/25416/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/06e9d567-9657-447f-97fb-d967654387e7/

Organizations & group practices 51

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.

View all 51

Hospital & facility affiliations 7

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1104465491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252303",
            "telephone_number": "402-721-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 N 205TH ST STE B",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224753",
            "telephone_number": "402-577-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANZEL",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "112984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.