Individual provider Active NPI

Jennifer J Lansman, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1659027993
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2715 Issued in NE
Practice address
9900 Nicholas St Ste 300
Omaha, NE 68114-2249
Phone
(402) 829-6384
Fax
(402) 829-6495
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2715 NE Primary

Addresses

Primary practice location

9900 Nicholas St Ste 300
Omaha, NE 68114-2249

Mailing address

9900 Nicholas St Ste 300
Omaha, NE 68114-2249
Phone (402) 829-6495

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
I20220505001155 NE Practitioner - Physician Assistant 7315334695 Reassigns benefits to 2 organizations

National Provider Directory

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

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1659027993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142249",
            "telephone_number": "402-829-6495",
            "fax_number": "402-829-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 NICHOLAS ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142249",
            "telephone_number": "402-829-6384",
            "fax_number": "402-829-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSMAN",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2024-03-26",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.