Jesse L Hemsworth, PA-C
Individual provider Active NPI Physician Assistant · Offutt Afb, NE
NPI 1609128156 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1609128156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2890 (NE)
- Practice address
- 2501 Capehart Rd
Offutt Afb, NE 68113-1043 - Phone
- (402) 294-9394
- NPI assigned
- Oct 9, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2890 | NE | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2890 | NE | Yes |
Addresses
Primary practice location
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Mailing address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone (402) 294-9394
Other providers in Offutt Afb, NE
- Brandon Lee Harding
- Noal Isaac Hart
- Daniel Edward Hatz
- Allen Joseph Hebert Jr.
- Karl Hellwig
- Joni A Hensley
- Citlali Hernandez
- Luke C Hesse
- Brandon Clarence Hoffman
- Michael W Holland
All providers in Offutt Afb, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.