NPIMap

Individual provider Active NPI

Jessica L Johnson, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1184697435
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110541 Issued in NE
Practice address
7500 Mercy Road
Suite 1300
Omaha, NE 68124
Phone
(402) 393-3110
Fax
(402) 393-4499
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 110541 NE Primary

Addresses

Primary practice location

7500 Mercy Road
Suite 1300
Omaha, NE 68124

Mailing address

17445 Arbor Street
Suite 310
Omaha, NE 68130
Phone (531) 444-1206

Other names 1

  • Mrs. Jessica L Rose Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822001246 NE Practitioner - Nurse Practitioner 0648201491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology West PCGroup PAC ID 8426030024, 56 clinicians

Practice addresses (Care Compare)

7500 Mercy Rd
Suite 1300
Omaha, NE 68124-2319
Phone (402) 393-3110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
89.93
Promoting interoperability
100
Improvement activities
40
Cost
54.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110541NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology West, PC CurrentSince Oct 5, 2015 Accepting new patients
Oncology Hematology West, PC CurrentSince Oct 5, 2015 Accepting new patients
Creighton University Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Planned Parenthood of the Heartland, Inc Past Accepting new patients
Creighton University Past Accepting new patients
Radiology Consultants PC PastSince Nov 17, 2024 Accepting new patients
Planned Parenthood of Omaha Co Bluffs Past Accepting new patients

Locations

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

17201 Wright St
Ste 200
Omaha, NE 68130
Phone (402) 334-4773

17445 Arbor St
Ste 310
Omaha, NE 68130

8303 Dodge St
Ste 250
Omaha, NE 68114
Phone (402) 354-8124

7710 Mercy Rd
Ste 202
Omaha, NE 68124
Phone (402) 280-4210

7500 Mercy Rd
Ste 1300
Omaha, NE 68124
Phone (402) 334-4773

7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110

611 Fenwick Dr
Papillion, NE 68046
Phone (402) 593-3141

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1184697435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17445 ARBOR STREET",
            "address_2": "SUITE 310",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "531-444-1206",
            "fax_number": "402-445-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MERCY ROAD",
            "address_2": "SUITE 1300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68124",
            "telephone_number": "402-393-3110",
            "fax_number": "402-393-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROSE",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.