Individual provider Active NPI

Jodi K Gabriel, APRN

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1518622323
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
307440 Issued in AZ
Practice address
5210 E Williams Cir Ste 620
Tucson, AZ 85711-8008
Phone
(520) 428-8828
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 307440 AZ Primary
Nurse Practitioner 363L00000X 113896 NE

Addresses

Primary practice location

5210 E Williams Cir Ste 620
Tucson, AZ 85711-8008

Mailing address

394 N White Marble Ave
Tucson, AZ 85748-0029
Phone (402) 686-9363

Other names 1

  • Jodi K Hartman Former name

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
I20211201000935 NE Practitioner - Nurse Practitioner 1355731696 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307440AZMDNurse Practitioner
113896NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Physicians of Nebraska LLC CurrentSince Jun 1, 2022 Accepting new patients
Hydr8, LLC CurrentSince Jan 1, 2023 Accepting new patients
Orthowest LLC Nurse Practitioner CurrentSince Nov 7, 2021 Accepting new patients
Orthowest LLC Nurse Practitioner CurrentSince Nov 7, 2021 Accepting new patients
New Century Physicians of Nebraska LLC Current Accepting new patients
Urgent Care Group LLC PastSince Nov 1, 2021 Accepting new patients

Locations

1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

18210 Wright St
Omaha, NE 68130
Phone (531) 999-1813

2725 S 144th St
Ste 212
Omaha, NE 68144
Phone (402) 354-4000

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

Organizations & group practices 6

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1518622323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 N WHITE MARBLE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857480029",
            "telephone_number": "402-686-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E WILLIAMS CIR STE 620",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857118008",
            "telephone_number": "520-428-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "JODI",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "307440",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "HARTMAN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.