Individual provider Active NPI

Kristine Kay Jahnke, PA-C

  • Physician Assistant
  • West Point, NE
National Provider Identifier
1124142443
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
431 Issued in NE
Practice address
500 E Decatur St
West Point, NE 68788-1565
Phone
(402) 372-2404
Fax
(402) 372-6770
NPI assigned
Mar 19, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 431 NE Primary

Addresses

Primary practice location

500 E Decatur St
West Point, NE 68788-1565

Mailing address

1922 Highway 9
Bancroft, NE 68004-4059
Phone (402) 648-7548

Other identifiers 3

IdentifierTypeStateIssuer
47079687513MedicaidNE
D38830OtherNEFRHS BCBS
2732OtherFRHS MIDLANDS CHOICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FCS49122@StFrancis.cernerdirect.com Direct

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
I20110311000203 NE Practitioner - Physician Assistant 6406038447 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Care Services IncGroup PAC ID 4284624909, 51 clinicians

Practice addresses (Care Compare)

430 N Monitor St
West Point, NE 68788-1595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as apm
Quality
82.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
431NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Jul 1, 2017 Accepting new patients
Franciscan Care Services Inc Current Accepting new patients
Franciscan Care Services Inc Current Accepting new patients
Franciscan Care Services Inc CurrentSince Oct 1, 2021 Accepting new patients
Franciscan Care Services Inc Past Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

211 N Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5116

601 E 2nd St
Oakland, NE 68045
Phone (402) 685-5116

430 N Monitor St
West Point, NE 68788
Phone (402) 372-2404

500 E Decatur St
West Point, NE 68788
Phone (402) 372-2404

Interoperability endpoints

  • Direct secure messaging: fcs49122@stfrancis.cernerdirect.com

Organizations & group practices 7

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.

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124142443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 HIGHWAY 9",
            "city": "BANCROFT",
            "state": "NE",
            "postal_code": "680044059",
            "telephone_number": "402-648-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E DECATUR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881565",
            "telephone_number": "402-372-2404",
            "fax_number": "402-372-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNKE",
        "first_name": "KRISTINE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079687513",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRHS BCBS",
            "identifier": "D38830",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRHS MIDLANDS CHOICE",
            "identifier": "2732",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FCS49122@StFrancis.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "500 E Decatur St",
            "city": "West Point",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687881565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Point, NE

Sources for this page

Verify at the official NPI Registry.