Individual provider Active NPI

Jessica R Moran-Hansen, M.D.

  • Otolaryngology Physician
  • Omaha, NE
National Provider Identifier
1528296209
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
27651 Issued in NE
Practice address
2727 S 144TH St Ste 250
Omaha, NE 68144-5236
Phone
(402) 778-5250
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 27651 NE Primary

Addresses

Primary practice location

2727 S 144TH St Ste 250
Omaha, NE 68144-5236

Mailing address

2727 S 144TH St Ste 250
Omaha, NE 68144-5236
Phone (402) 778-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140717002144 NE Practitioner - Otolaryngology 0345466827 Reassigns benefits to 2 organizations
I20230420002161 IA Practitioner - Otolaryngology 0345466827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Nebraska College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Consultants LLCGroup PAC ID 8123249927, 8 clinicians

Practice addresses (Care Compare)

2727 S 114TH St
Suite 250
Omaha, NE 68144-5236
Phone (402) 408-9625

933 E Pierce St
FL 2
Council Bluffs, IA 51503-4626
Phone (402) 408-9625

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129
  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27651NEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Think Aksarben, LLC CurrentSince Jul 1, 2022 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

Organizations & group practices 3

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 5

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1528296209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445236",
            "telephone_number": "402-778-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 250",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445236",
            "telephone_number": "402-778-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN-HANSEN",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "27651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.