Individual provider Active NPI

Jennifer Kjolhede

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1376961706
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101242 Issued in NE
Practice address
15435 Douglas Cir
Omaha, NE 68154-2051
Phone
(507) 438-1786
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101242 NE Primary

Addresses

Primary practice location

15435 Douglas Cir
Omaha, NE 68154-2051

Mailing address

15435 Douglas Cir
Omaha, NE 68154-2051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213001518 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991085748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Care Services IncGroup PAC ID 4284624909, shared by 10 NPIs, 51 clinicians

Practice addresses (Care Compare)

430 N Monitor St
West Point, NE 68788-1595

Hospital & facility affiliations

  • St Francis Memorial Hospital Hospital, West Point, NE, CCN 281322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Care Services Inc CurrentSince Jan 1, 2025 Accepting new patients
Franciscan Care Services Inc Current Accepting new patients
Franciscan Care Services Inc CurrentSince Jan 1, 2025 Accepting new patients
Franciscan Care Services Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Leighow Anesthesia & Medical Aesthetics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 20, 2017 Accepting new patients

Locations

9850 Nicholas St
Ste 100
Omaha, NE 68114
Phone (402) 343-1122

11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020

430 N Monitor St
West Point, NE 68788
Phone (402) 372-2404

500 E Decatur St
West Point, NE 68788
Phone (402) 372-2404

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1376961706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 DOUGLAS CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 DOUGLAS CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542051",
            "telephone_number": "507-438-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJOLHEDE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.