Jessica Elaine Prusa Flores, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

30737 Issued in NE

Practice address

7205 W Center Rd Ste 200
Omaha, NE 68124-2388

Phone

(402) 397-6600

Fax

(402) 397-8318

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Elaine Prusa Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Nebraska College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-City OB-GYN PCGroup PAC ID 3779527585, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.prusaflores@midcityobgyn.directbygreenway.com

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.

• Mid-City OB-GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Omaha, NE
  • NPI 1861578817
  Medicare reassignment Care Compare group NPD
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  Medicare reassignment NPD
• Alegent Creighton Clinic

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1154680700
  NPD
• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1508941097
  NPD (past)
• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  NPD (past)
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1598027500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600",
            "fax_number": "402-397-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242388",
            "telephone_number": "402-397-6600",
            "fax_number": "402-397-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jack Foster Dr",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "IA",
            "postal_code": "516014586",
            "country_code": "US",
            "telephone_number": "712-246-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 Saint Francis Ave",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553793374",
            "country_code": "US",
            "telephone_number": "952-428-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUSA FLORES",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "42413",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "30737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PRUSA",
            "middle_name": "ELAINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashlee Sue Pruis-Trapp, PLMHP
• Chase A Pruitt, DDS, MD
• Christina Leigh Pruitt, D.D.S.
• Melissa Renee Pruitt, MS, LIMHP, LPC
• Tariq Pruitt
• Kathyrn Prusacki
• Thomas S Pruse, M.D.
• Donovan Prusia
• Jade Kelly Prusia, PLMHP
• Sarah Prusmack, OTR/L, CLT

• Obstetrics & Gynecology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Obstetrics & Gynecology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.