Individual provider Active NPI

Jennifer L Pineda, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1306673702
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115455 Issued in NE
Practice address
4840 Dodge St
Omaha, NE 68132-3111
Phone
(866) 389-2727
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 115455 NE Primary

Addresses

Primary practice location

4840 Dodge St
Omaha, NE 68132-3111

Mailing address

9638 Ohio St
Omaha, NE 68134-5664
Phone (712) 314-7155

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
I20241230000100 NE Practitioner - Nurse Practitioner 0042747271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua Medical Centers LLCGroup PAC ID 9234301227, 5 clinicians
Lifecare Family Medicine of Bellevue PCGroup PAC ID 5193901965, 5 clinicians

Practice addresses (Care Compare)

2429 M St
Omaha, NE 68107-2715
Phone (402) 731-7333

8074 S 84TH St
La Vista, NE 68128-3303
Phone (402) 779-7207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
115455NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County Nebraska CurrentSince Jan 28, 2026 Accepting new patients
Douglas County Nebraska CurrentSince Jan 28, 2026 Accepting new patients
Lifecare Family Medicine of Bellevue, P.C. CurrentSince Nov 15, 2025 Accepting new patients
Joshua Medical Centers LLC CurrentSince Mar 3, 2025 Accepting new patients
Novis Health PC PastSince Sep 1, 2024 Accepting new patients

Locations

8074 S 84th St
Lavista, NE 68128
Phone (402) 331-3373

2419 M St
Omaha, NE 68107
Phone (402) 731-7333

4102 Woolworth Ave
Omaha, NE 68105
Phone (402) 444-7000

2429 M St
Omaha, NE 68107
Phone (402) 731-7333

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1306673702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9638 OHIO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345664",
            "telephone_number": "712-314-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323111",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.