Individual provider Active NPI

Jordan K Janssen, PA-C

  • Physician Assistant
  • Norfolk, NE
National Provider Identifier
1437573060
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1797 Issued in NE
Practice address
2701 W Norfolk Ave FL 2
Norfolk, NE 68701-4407
Phone
(402) 844-8291
Fax
(402) 844-8292
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1797 NE Primary

Addresses

Primary practice location

2701 W Norfolk Ave FL 2
Norfolk, NE 68701-4407

Mailing address

2701 W Norfolk Ave FL 2
Norfolk, NE 68701-4407
Phone (402) 844-8291

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
I20140325000568 NE Practitioner - Physician Assistant 9436380037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

2700 W Norfolk Ave
Norfolk, NE 68701-4438

2701 W Norfolk Ave FL
Norfolk, NE 68701-4407

47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1797NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Feb 24, 2014 Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2701 W Norfolk Ave
Fl 2
Norfolk, NE 68701
Phone (402) 844-8291

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

301 N 27th St
Ste 2
Norfolk, NE 68701
Phone (402) 644-7654

2701 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 844-8158

110 N 29th St
Ste 201
Norfolk, NE 68701
Phone (402) 844-8121

Organizations & group practices 2

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1437573060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W NORFOLK AVE FL 2",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014407",
            "telephone_number": "402-844-8291",
            "fax_number": "402-844-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W NORFOLK AVE FL 2",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014407",
            "telephone_number": "402-844-8291",
            "fax_number": "402-844-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "JORDAN",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.