Individual provider Active NPI

Cindy Janssen, D.O.

  • Family Medicine Physician
  • Papillion, NE
National Provider Identifier
1396895397
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
277 Issued in NE
Practice address
101 E Centennial Rd
Papillion, NE 68046-2079
Phone
(402) 354-7750
Fax
(402) 354-7760
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 277 NE Primary

Addresses

Primary practice location

101 E Centennial Rd
Papillion, NE 68046-2079

Mailing address

754 Gold Coast Dr Ste 105
Papillion, NE 68046-4498
Phone (402) 201-2300

Other identifiers 3

IdentifierTypeStateIssuer
47068731721MedicaidNE
1821049156MedicaidIA
10024994800MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000908 NE Practitioner - Family Practice 0345379798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Seasons Family Medicine LLCGroup PAC ID 3678960929, 3 clinicians

Practice addresses (Care Compare)

754 Gold Coast Dr
Suite 105
Papillion, NE 68046-4498
Phone (402) 201-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
277NEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Seasons Family Medicine LLC Family Medicine CurrentSince May 1, 2022 Accepting new patients

Locations

101 E Centennial Rd
Papillion, NE 68046
Phone (402) 354-7750

754 Gold Coast Dr
Ste 105
Papillion, NE 68046
Phone (402) 201-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26040/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cindy.janssen.1@26040.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1396895397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 GOLD COAST DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464498",
            "telephone_number": "402-201-2300",
            "fax_number": "402-201-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CENTENNIAL RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462079",
            "telephone_number": "402-354-7750",
            "fax_number": "402-354-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "CINDY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731721",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821049156",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024994800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.