Individual provider Active NPI

Jennifer Kramer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1336623289
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
115233 Issued in NE
Practice address
2221 S 17TH St
Ste 310
Lincoln, NE 68502-3785
Phone
(402) 483-8590
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 71586 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 115233 NE Primary

Addresses

Primary practice location

2221 S 17TH St
Ste 310
Lincoln, NE 68502-3785

Mailing address

3672 X St
Lincoln, NE 68503-2765
Phone (402) 802-4560

Other names 1

  • Jennifer Vetick Former name

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
I20240320001310 NE Practitioner - Nurse Practitioner 0840637377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2221 S 17TH St
310 Bryan Psychiatry
Lincoln, NE 68502-3700
Phone (402) 483-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71586NEMDSchool Registered Nurse
115233NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince May 1, 2024 Accepting new patients
Bryan Medical Center PastSince Feb 25, 2024 Accepting new patients

Locations

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

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2221 S 17th St
Ste 310
Lincoln, NE 68502
Phone (402) 483-8550

Interoperability endpoints

  • Direct secure messaging: jkramer150149@hisp.bryanhealth.org

Organizations & group practices 2

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1336623289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 X ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685032765",
            "telephone_number": "402-802-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 S 17TH ST",
            "address_2": "STE 310",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023785",
            "telephone_number": "402-483-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "71586",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "115233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VETICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.