Individual provider Active NPI

Jeffery R Hollis, M.D.

  • Family Medicine Physician
  • Geneva, NE
National Provider Identifier
1144244138
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16121 Issued in NE
Practice address
1840 F St
Geneva, NE 68361-2211
Phone
(402) 759-4485
Fax
(402) 759-4487
NPI assigned
Jul 26, 2006
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16121 NE Primary

Addresses

Primary practice location

1840 F St
Geneva, NE 68361-2211

Mailing address

PO Box 268
Geneva, NE 68361-0268
Phone (402) 759-4485

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111001087 NE Practitioner - Family Practice 9739143546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
St. Louis College of Physicians and Surgeons, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Medical Education PartnershipGroup PAC ID 4880645407, 16 clinicians

Practice addresses (Care Compare)

4600 Valley Rd
Lincoln, NE 68510-4855

4600 Valley Rd
Suite 200
Lincoln, NE 68510-4882
Phone (402) 483-4571

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Medical Education Partnership Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Fillmore County Hospital Past Accepting new patients

Locations

4600 Valley Rd
Ste 200
Lincoln, NE 68510
Phone (402) 483-4571

Interoperability endpoints

  • Direct secure messaging: jeffery.hollis.1@9271.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1144244138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683610268",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612211",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "JEFFERY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "16121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NE

Sources for this page

Verify at the official NPI Registry.