Individual provider Active NPI

McKenzie Rae Jones, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1396419180
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
113629 Issued in NE
Practice address
2130 S 17TH St Ste 100
Lincoln, NE 68502-3750
Phone
(402) 454-7454
Fax
(888) 490-1927
NPI assigned
Aug 4, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113629 NE Primary

Addresses

Primary practice location

2130 S 17TH St Ste 100
Lincoln, NE 68502-3750

Mailing address

3911 S 17TH St
Lincoln, NE 68502-5439
Phone (402) 499-1335

Other names 1

  • Mrs. McKenzie Rae Jones Nelson 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
I20210914001335 NE Practitioner - Nurse Practitioner 9234535410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Psychiatric Group LLCGroup PAC ID 3779808571, 6 clinicians

Practice addresses (Care Compare)

2130 S 17TH St
Suite 100
Lincoln, NE 68502-3750
Phone (402) 454-7454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113629NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Psychiatric Group, LLC Psychiatric/Mental Health CurrentSince Sep 1, 2021 Accepting new patients

Locations

2130 S 17th St
Ste 100
Lincoln, NE 68502
Phone (402) 454-7454

2450 Q St
Lincoln, NE 68503
Phone (402) 454-7454

Organizations & group practices 1

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1396419180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 S 17TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025439",
            "telephone_number": "402-499-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 S 17TH ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023750",
            "telephone_number": "402-454-7454",
            "fax_number": "888-490-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MCKENZIE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENZIE",
            "last_name": "JONES NELSON",
            "middle_name": "RAE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.