Individual provider Active NPI

Jeffrey Mark Pollens, DPM

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1710943279
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
211 Issued in NE
Practice address
15403 Saratoga St
Omaha, NE 68116-8491
Phone
(402) 496-0003
Fax
(402) 496-0003
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 211 NE Primary

Addresses

Primary practice location

15403 Saratoga St
Omaha, NE 68116-8491

Mailing address

15403 Saratoga St
Omaha, NE 68116-8491
Phone (402) 496-0003

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000812 NE Practitioner - Podiatry 3375562275 Practice locations: Omaha, NE; Ravenna, NE; Red Cloud, NE; Saint Paul, NE; Stromsburg, NE; Superior, NE; Tecumseh, NE; West Point, NE…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 E 3Rd St
Stromsburg, NE 68666-3035
Phone (402) 764-8227

15403 Saratoga St
Omaha, NE 68116-8491
Phone (402) 496-0003

202 N Esther St
Fullerton, NE 68638-3029
Phone (308) 536-2488

411 W Genoa St
Ravenna, NE 68869-1213
Phone (308) 452-3230

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue4779
Removal or shaving of skin growth1349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
211NEMDProfessional Counselor
2550OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Kakish MD Senior Care, PC Past Accepting new patients
Bethesda Foundation Past Accepting new patients
Physician Homecare Associates Past Accepting new patients
Grand Island Bickford Cottage, L.L.C. Past Accepting new patients
Heritage of St Paul, Inc Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Organizations & group practices 7

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1710943279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15403 SARATOGA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168491",
            "telephone_number": "402-496-0003",
            "fax_number": "402-496-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15403 SARATOGA ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168491",
            "telephone_number": "402-496-0003",
            "fax_number": "402-496-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLENS",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.