Individual provider Active NPI

Darin E Jackson, MD

  • General Practice Physician
  • Omaha, NE
National Provider Identifier
1265567267
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20271 Issued in NE
Practice address
17650 Wright St Ste 3
Omaha, NE 68130-2800
Phone
(402) 334-5433
Fax
(402) 333-1037
NPI assigned
Feb 22, 2007
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20271 NE
General Practice Physician 208D00000X 20271 NE Primary

Addresses

Primary practice location

17650 Wright St Ste 3
Omaha, NE 68130-2800

Mailing address

1201 Ranch View LN
Elkhorn, NE 68022-2239
Phone (402) 650-7333

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
I20040408000008 NE Practitioner - General PracticePractitioner - Emergency Medicine 3173516671 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
88 Medicine LLC General Practice Current Accepting new patients
Methodist Fremont Health Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Nebraska Emergency Medicine PC Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Alegent Creighton Health Emergency Medicine Past Accepting new patients
Children's Physicians Past Accepting new patients
Muc-Papillion LLC Past Accepting new patients

Locations

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

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

17650 Wright St
Ste 5
Omaha, NE 68130
Phone (402) 334-5433

Interoperability endpoints

  • Direct secure messaging: darin.jackson.1@32282.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1265567267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 RANCH VIEW LN",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222239",
            "telephone_number": "402-650-7333",
            "fax_number": "402-333-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 WRIGHT ST STE 3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302800",
            "telephone_number": "402-334-5433",
            "fax_number": "402-333-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DARIN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "20271",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "20271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.