Individual provider Active NPI

Jamie Renee Draper, APRN CPNP

  • Developmental - Behavioral Pediatrics Physician
  • Lincoln, NE
National Provider Identifier
1619971678
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
110526 Issued in NE
Practice address
6301 Orchard St Ste 3
Lincoln, NE 68505-1807
Phone
(402) 520-6616
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 110526 NE
Developmental - Behavioral Pediatrics Physician 2080P0006X 110526 NE Primary

Addresses

Primary practice location

6301 Orchard St Ste 3
Lincoln, NE 68505-1807

Mailing address

6301 Orchard St Ste 3
Lincoln, NE 68505-1807
Phone (402) 520-6616

Other practice location 1

8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600

Other practice location 2

6301 Orchard St Ste 3
Lincoln, NE 68505-1807
Phone (402) 520-6616

Other identifiers 4

IdentifierTypeStateIssuer
47079049100MedicaidNE
10026369300MedicaidNE
10025151600MedicaidNE
47079049112MedicaidNE

Other names 1

  • Jamie Renee Jeffrey Former name

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
I20200910002522 NE Practitioner - Nurse Practitioner 3274951090 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110526NEMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Peace of Mind Behavioral Health Developmental - Behavioral Pediatrics CurrentSince Aug 18, 2022 Accepting new patients
Alivation Health, LLC CurrentSince Aug 13, 2020 Accepting new patients

Locations

8550 Cuthills Cir
Ste 100
Lincoln, NE 68526

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1619971678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 ORCHARD ST STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051807",
            "telephone_number": "402-520-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 ORCHARD ST STE 3",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051807",
            "telephone_number": "402-520-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 Northwoods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685053092",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 Orchard St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685051807",
            "country_code": "US",
            "telephone_number": "402-520-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "JAMIE",
        "middle_name": "RENEE",
        "credential": "APRN CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "110526",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NE",
            "license": "110526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079049100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026369300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025151600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079049112",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "JEFFREY",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.