Individual provider Active NPI

Jaden Briana Belitz, PA-C

  • Medical Physician Assistant
  • Norfolk, NE
National Provider Identifier
1487330866
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2934 Issued in NE
Practice address
1410 N 13TH St
Norfolk, NE 68701-2669
Phone
(402) 379-2322
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2934 NE Primary

Addresses

Primary practice location

1410 N 13TH St
Norfolk, NE 68701-2669

Mailing address

1410 N 13TH St
Norfolk, NE 68701-2669
Phone (402) 371-0123

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
I20230810001769 NE Practitioner - Physician Assistant 5698137487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest OB/GYN Clinic, PCGroup PAC ID 9133014764, 14 clinicians

Practice addresses (Care Compare)

1410 N 13TH St
Midwest Health Partners PC
Norfolk, NE 68701-2669
Phone (402) 379-2322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2934NEMDOccupational Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1487330866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012669",
            "telephone_number": "402-371-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012669",
            "telephone_number": "402-379-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELITZ",
        "first_name": "JADEN",
        "middle_name": "BRIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "2934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.