Jill S Rine

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

741 Issued in NE

Practice address

2625 Stockwell St
Lincoln, NE 68502-5755

Phone

(402) 421-3335

Fax

(402) 421-2625

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.rine.2@14940.direct.athenahealth.com

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.

• Physician Homecare Associates

  • Geriatric Medicine (Family Medicine) Physician
  • Valley, NE
  • NPI 1942228820
  NPD
• Skin PC

  • Dermatology Physician
  • Elkhorn, NE
  • NPI 1134410764
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1437136405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GINGER WOODS RD",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680649404",
            "telephone_number": "402-421-3335",
            "fax_number": "402-421-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 STOCKWELL ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025755",
            "telephone_number": "402-421-3335",
            "fax_number": "402-421-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINE",
        "first_name": "JILL",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47073374004",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim R Riley, PHD
• Jeremy E Rima
• Lyle E Rima
• Susan Rima
• Jennifer Rine
• Jainey Rinehart-Carroll
• Sheri Rinehart
• Ring Endodontics of Lincoln LLC
• Shaun Ring, PA
• Audra E Ringenberg

• Medical Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Medical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.