Active NPI
Jaime Robertson
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1124979307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 116585
- Practice address
- 4350 Dewey Ave # Ne68105
Omaha, NE 68105-1017 - Phone
- (402) 552-2000
- NPI assigned
- Feb 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95868 | NE | |
| Family Nurse Practitioner | 363LF0000X | 116585 | NE | Primary |
Addresses
Primary practice location
4350 Dewey Ave # Ne68105
Omaha, NE 68105-1017
Mailing address
814 S 33Rd St
Omaha, NE 68105-2004
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260416000496 | NE | Practitioner - Nurse Practitioner | 6406322577 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proactive Wound Care NE Inc
Practice addresses (Care Compare)
650 J St
Suite 405
Lincoln, NE 68508-2924
Phone (801) 815-6862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95868 | NE | MD | Registered Nurse |
| 116585 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Wound Care NE Inc | Current | Accepting new patients |
Locations
650 J St
Ste 405
Lincoln, NE 68508
Phone (801) 815-6500
Organizations & group practices 1
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": "1770163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1124979307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 S 33RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 DEWEY AVE # NE68105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051017",
"telephone_number": "402-552-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "JAIME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-04",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "95868",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "116585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.