Jordan Amber Haake, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

115387 Issued in NE

Practice address

910 20TH St
Gothenburg, NE 69138-1237

Phone

(308) 537-3661

NPI assigned

May 30, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gothenburg Memorial HospitalGroup PAC ID 6709832983, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gothenburg Health Hospital, Gothenburg, NE, CCN 281313

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gothenburg Memorial Hospital

  dba Gothenburg Health

  • Critical Access Hospital
  • Gothenburg, NE
  • NPI 1922051531
  Medicare reassignment Care Compare group NPD
• Gothenburg Memorial Hospital

  dba Brady Clinic

  • Family Medicine Physician
  • Brady, NE
  • NPI 1912445404
  NPD
• Gothenburg Memorial Hospital

  dba Gothenburg Clinic

  • Rural Health Clinic/Center
  • Gothenburg, NE
  • NPI 1477953305
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gothenburg Memorial Hospital

  dba Gothenburg Health

  • Critical Access Hospital
  • Gothenburg, NE
  • NPI 1922051531
  Care Compare affiliation

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1104666734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 22ND ST",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691382507",
            "telephone_number": "308-529-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 20TH ST",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381237",
            "telephone_number": "308-537-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAKE",
        "first_name": "JORDAN",
        "middle_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gothenburg Public Schools
• Gothenburg Senior Citizen's Center
• Gothenburg-Cozad Vision Clinic,P.C.
• Gottenburg Senior Living, LLC
• James J. Graff, D.D.S.
• Landen Haake
• Melissa Haas, RN
• Randal Harouff
• Hannah Marie Harrison, MMN, RDN, LMNT
• Hecox Dentistry, PC

• Family Nurse Practitioner in Gothenburg, NE
• Providers in Gothenburg, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.