Jason R Hadenfeldt, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

986 Issued in NE

Practice address

620 N Diers Ave Ste 200
Grand Island, NE 68803-4985

Phone

(308) 384-5400

Fax

(308) 384-5201

NPI assigned

May 28, 2005

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

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Nebraska Orthopedics and Sports Medicine PCGroup PAC ID 8123077518, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
• Jennie M Melham Memorial Medical Center Hospital, Broken Bow, NE, CCN 281365
• CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71581
• Direct secure messaging: jason.hadenfeldt.p1@direct.cnorthopedics.nextgenshare.com

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.

• Central Nebraska Orthopedics & Sports Medicine, P.C.

  • Orthopaedic Surgery Physician
  • Grand Island, NE
  • NPI 1538163092
  Medicare reassignment Care Compare group
• Bainbridge Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Grand Island, NE
  • NPI 1659476000
  NPD (past)
• Foot & Ankle Clinic of Central Nebraska PC

  • Podiatrist
  • Grand Island, NE
  • NPI 1134162910
  NPD (past)
• Nebraska Spine Center, LLP

  • Orthopaedic Surgery of the Spine Physician
  • Omaha, NE
  • NPI 1588667950
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grand Island Regional Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1558910604
  Care Compare affiliation
• Jennie M Melham Memorial Medical Center Inc

  • Critical Access Hospital
  • Broken Bow, NE
  • NPI 1538232244
  Care Compare affiliation
• Saint Francis Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1982675955
  Care Compare affiliation

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1225031776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N DIERS AVE STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034985",
            "telephone_number": "308-384-5400",
            "fax_number": "308-384-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N DIERS AVE STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034985",
            "telephone_number": "308-384-5400",
            "fax_number": "308-384-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADENFELDT",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225031776",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Guy
• Brianna Guzman Fontes
• Ketai Gwaze
• Erica Lee Nickeson Haake, M.D.
• Macaela Haas, PLMHP
• David James Hadford, M.D.
• Angela Hagedorn, LPN
• Susan Gail Hageman, D.P.T.
• Travis Stanford Hageman, M.D.
• Jennifer Nicole Hahn

• Surgical Physician Assistant in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Surgical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.

Verify at the official NPI Registry.