Individual provider Active NPI

Jennifer Pearson, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1558726026
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111949 Issued in NE
Practice address
4333 S 86TH St
Lincoln, NE 68526-9260
Phone
(402) 481-6343
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A157139 IA
Family Nurse Practitioner 363LF0000X 111949 NE Primary

Addresses

Primary practice location

4333 S 86TH St
Lincoln, NE 68526-9260

Mailing address

PO Box 57367
Lincoln, NE 68505-7367

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160502000647 NE Practitioner - Nurse Practitioner 3779882444 Reassigns benefits to 1 organization
I20200109000519 IA Practitioner - Nurse Practitioner 3779882444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

4333 S 86TH St
101 Bryan Urgent Care Southeast
Lincoln, NE 68526-9261
Phone (402) 481-6343

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157139IAMDFamily Nurse Practitioner
111949NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince Nov 1, 2021 Accepting new patients
Alegent Creighton Clinic CurrentSince Jan 1, 2020 Accepting new patients
Seward Urgent Care Partnership LLC PastSince Nov 1, 2021 Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

5901 N 27th St
Ste 101
Lincoln, NE 68521
Phone (402) 481-6343

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

7501 S 27th St
Lincoln, NE 68512
Phone (402) 481-6300

4333 S 86th St
Lincoln, NE 68526
Phone (402) 483-8500

4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

16101 Evans St
Omaha, NE 68116
Phone (402) 717-9700

Interoperability endpoints

  • Direct secure messaging: jpearson55405@hisp.bryanhealth.org

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 3

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1558726026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57367",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685057367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 S 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269260",
            "telephone_number": "402-481-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A157139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.