Jacqueline Annette Baude, MD
Individual provider Active NPI Family Medicine Physician · Offutt Afb, NE
NPI 1124641089 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1124641089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34463 (NE)
- Practice address
- 2501 Capehart Rd
Offutt Afb, NE 68113-1043 - Phone
- (402) 294-9157
- NPI assigned
- May 26, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200921002362 | NE | Order and Referring Only - Family Practice |
7214355411 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34463 | NE | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34463 | NE | Yes |
Addresses
Primary practice location
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Mailing address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone (402) 294-9157
Other providers in Offutt Afb, NE
- Michael Joseph Atwood
- Raegan Leigh Austin
- Jared Wesley Baird
- Trevin Micheal Ball
- Shelrethia O'Shay Battle-Siatita
- Elizabeth Ann Beal
- Francis Eugene Becker
- Derik Grant Bendixsen
- Catherine Fern Bensken
- John Michael Black
All providers in Offutt Afb, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.