Individual provider Active NPI

Jill M Hobelman, PA-C

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1548534795
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1672 Issued in NE
Practice address
6041 Village Dr Ste 150
Lincoln, NE 68516-5774
Phone
(402) 423-1900
Fax
(402) 423-5991
NPI assigned
Mar 6, 2012
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1672 NE Primary
Medical Physician Assistant 363AM0700X 15-01526 KS

Addresses

Primary practice location

6041 Village Dr Ste 150
Lincoln, NE 68516-5774

Mailing address

6041 Village Dr Ste 150
Lincoln, NE 68516-5774
Phone (402) 423-1900

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
I20240727000657 NE Practitioner - Physician Assistant 0345786240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crete Area Medical CenterGroup PAC ID 4385556216, 20 clinicians

Practice addresses (Care Compare)

2910 Betten Dr
Crete, NE 68333-3084
Phone (402) 826-2102

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01526KSMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crete Area Medical Center Medical CurrentSince Aug 19, 2024 Accepting new patients
Crete Area Medical Center CurrentSince Aug 19, 2024 Accepting new patients
Crete Area Medical Center Past Accepting new patients
Crete Area Medical Center Past Accepting new patients
Doctors of Children, Lincoln PC Physician Assistant Past Accepting new patients
Crete Area Medical Center Past Accepting new patients
Doctors of Children, Lincoln PC PastSince Jul 24, 2022 Accepting new patients

Locations

2910 Betten Dr
Crete, NE 68333
Phone (402) 826-1191

1210 2nd St
Friend, NE 68359
Phone (402) 947-2021

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1548534795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 VILLAGE DR STE 150",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165774",
            "telephone_number": "402-423-1900",
            "fax_number": "402-423-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 VILLAGE DR STE 150",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165774",
            "telephone_number": "402-423-1900",
            "fax_number": "402-423-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBELMAN",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1672",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.