Individual provider Active NPI

Jaime Hatcliff, P.A.C.

  • Physician Assistant
  • Beatrice, NE
National Provider Identifier
1205839982
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
867 Issued in NE
Practice address
1101 N 10TH St
Beatrice, NE 68310-2001
Phone
(402) 228-3436
Fax
(402) 223-4515
NPI assigned
May 24, 2005
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 867 NE Primary

Addresses

Primary practice location

1101 N 10TH St
Beatrice, NE 68310-2001

Mailing address

1101 N 10TH St
Beatrice, NE 68310-2001
Phone (402) 228-3436

Other identifiers 1

IdentifierTypeStateIssuer
970018972OtherNERAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000058 NE Practitioner - Physician Assistant 0648442871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beatrice Community Hospital and Health Center IncGroup PAC ID 1951208222, shared by 6 NPIs, 65 clinicians

Practice addresses (Care Compare)

4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone (402) 228-3344

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beatrice Community Hospital & Health Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Beatrice Community Hospital & Health Center Inc Physician Assistant CurrentSince May 1, 2013 Accepting new patients
Beatrice Community Hospital & Health Center Inc Past Accepting new patients

Locations

4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344

Organizations & group practices 3

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1205839982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N 10TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102001",
            "telephone_number": "402-228-3436",
            "fax_number": "402-223-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N 10TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102001",
            "telephone_number": "402-228-3436",
            "fax_number": "402-223-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCLIFF",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970018972",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

Verify at the official NPI Registry.