Active NPI
Jillian Michelle Fickenscher, M.D.
- Family Medicine Physician
- Omaha, NE
National Provider Identifier
1376988972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6912
- Practice address
- 983075 Nebraska Medical Ctr
Omaha, NE 68198-3075 - Phone
- (402) 559-7200
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6912 | NE | Primary |
Addresses
Primary practice location
983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Mailing address
983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Other names 1
- Jillian Michelle Heiden
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161109001194 | NE | Practitioner - Family Practice | 4981837192 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- York General Hospital
Practice addresses (Care Compare)
2114 N Lincoln Ave
Suite a
York, NE 68467-1072
Phone 40236255556159
2222 N Lincoln Ave
York, NE 68467-1030
Phone (402) 362-6671
Hospital & facility affiliations
- Eventide Home Health Care
- York General Hosp Home Health
- Eventide Hospice
- York General Health Care Services
- CHI Health St. Elizabeth
- Bryan Medical Center
- York General Hearthstone
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6912 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York General Hospital | Current | Accepting new patients | |
| York General Hospital | Current | Accepting new patients | |
| Four Corners Health Department | Current | Accepting new patients | |
| York Quick Clinic | Current | Accepting new patients | |
| York General Hospital | Current | Accepting new patients | |
| York General Hospital | Past | Accepting new patients |
Locations
2114 N Lincoln Ave
Ste A
York, NE 68467
Phone (402) 362-5044
309 S 35th St
York, NE 68467
Phone (402) 362-5555
2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-0420
2101 N Lincoln Ave
York, NE 68467
Phone (402) 362-2621
309 S 35th St
Ste B
York, NE 68467
Phone (402) 745-1800
Interoperability endpoints
- jillianfickenscher@ynemcpc.allscriptsdirect.net
- jillian.fickenscher@ymc1.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- York, NE
- NPI 1982704250
NE
-
- Durable Medical Equipment & Medical Supplies
- York, NE
- NPI 1851491153
-
- Medicare Defined Swing Bed Hospital Unit
- York, NE
- NPI 1700986130
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
Hospital
-
- Home Health Agency
- Lincoln, NE
- NPI 1720163298
-
- Home Health Agency
- York, NE
- NPI 1932285574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1376988972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983075 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681983075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983075 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681983075",
"telephone_number": "402-559-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICKENSCHER",
"first_name": "JILLIAN",
"middle_name": "MICHELLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "6912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "HEIDEN",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}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 May 8, 2013; 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.