Individual provider Active NPI

Jordan Garry, FNP

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1417470857
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115329 Issued in NE
Practice address
7710 Mercy Rd Ste 426
Omaha, NE 68124-2323
Phone
(402) 343-8650
Fax
(402) 343-8545
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342049 NY
Family Nurse Practitioner 363LF0000X 26NJ01207200 NJ
Family Nurse Practitioner 363LF0000X A181313 IA
Family Nurse Practitioner 363LF0000X 115329 NE Primary

Addresses

Primary practice location

7710 Mercy Rd Ste 426
Omaha, NE 68124-2323

Mailing address

7710 Mercy Rd Ste 426
Omaha, NE 68124-2323
Phone (402) 343-8650

Other practice location 1

160 Stone St
Watertown, NY 13601
Phone (315) 788-8065

Other practice location 2

137 High St Fl 2A
Mount Holly, NJ 08060-1476
Phone (609) 474-0120 ext. 102

Other practice location 3

120 Old Camplain Rd Ste 2H
Hillsborough, NJ 08844-4394
Phone (908) 429-7799

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
I20241016002401 NE Practitioner - Nurse Practitioner 6406120567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

7710 Mercy Rd
Suite 426
Omaha, NE 68124-2323
Phone (402) 343-8650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.24 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
92.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A181313IAMDFamily Nurse Practitioner
115329NEMDFamily Nurse Practitioner
342049NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Feb 18, 2025 Accepting new patients
Mobiclinix LLC CurrentSince Aug 14, 2024 Accepting new patients
Clare Medical of New Jersey LLC CurrentSince Jan 1, 2022 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373

7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

137 High St
Fl 2A
Mount Holly, NJ 08060
Phone (609) 474-0120

137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jgarry@hiemail.healtheconnections.org
  • Direct secure messaging: jordan.garry.p2@direct.usppny.nextgenshare.com

Organizations & group practices 4

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 4

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1417470857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 426",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242323",
            "telephone_number": "402-343-8650",
            "fax_number": "402-343-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 MERCY RD STE 426",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242323",
            "telephone_number": "402-343-8650",
            "fax_number": "402-343-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Stone St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "13601",
            "country_code": "US",
            "telephone_number": "315-788-8065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 High St Fl 2A",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601476",
            "country_code": "US",
            "telephone_number": "609-474-0120 x102",
            "fax_number": "609-474-0121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Old Camplain Rd Ste 2H",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088444394",
            "country_code": "US",
            "telephone_number": "908-429-7799",
            "fax_number": "866-611-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRY",
        "first_name": "JORDAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342049",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01207200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A181313",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.