Jacob Dean Horstman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2980 Issued in NE

Practice address

1000 Pole Creek Xing
Sidney, NE 69162-2901

Phone

(308) 254-5825

NPI assigned

Sep 11, 2023

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Alegent Creighton Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment NPD
• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Medicare reassignment
• Cheyenne County Hospital Association

  • Specialty Pharmacy
  • Sidney, NE
  • NPI 1558077396
  NPD
• Alegent Creighton Clinic

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1154680700
  NPD (past)
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1184401580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FORT SIDNEY RD APT 1108",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622605",
            "telephone_number": "308-764-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK XING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622901",
            "telephone_number": "308-254-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSTMAN",
        "first_name": "JACOB",
        "middle_name": "DEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Hochanadel
• Stephanie Hodges
• Rudy Andrew Hoffa
• Mykah Dawn Holdsworth
• Stacy Lynn Hollendieck
• Hospice of the Plains, Inc.
• Judy Hottell
• Racheal Houk, DC
• Connie Marie Howard
• Sheila Howard, PLMHP

• Physician Assistant in Sidney, NE
• Providers in Sidney, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.