NPIMap

Individual provider Active NPI

Jeffery Jacobs, M.D.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1740229384
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21795 Issued in NE
Practice address
8613 N 30TH St
Omaha, NE 68112-1852
Phone
(402) 453-9900
Fax
(402) 453-5617
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 33092 IA
Emergency Medicine Physician 207P00000X 21795 NE
Family Medicine Physician 207Q00000X 21795 NE Primary

Addresses

Primary practice location

8613 N 30TH St
Omaha, NE 68112-1852

Mailing address

PO Box 642117
Omaha, NE 68164-8117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040902000159 IA Practitioner - Emergency MedicinePractitioner - Family Practice 2961477849 Reassigns benefits to 2 organizations
I20090423000139 NE Practitioner - Family PracticePractitioner - Emergency Medicine 2961477849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

8613 N 30TH St
Omaha, NE 68112-1852
Phone (402) 453-9900

Hospital & facility affiliations

  • CHI Health at Home - Omaha Home health agency, Omaha, NE, CCN 287019
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
  • Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Newport House Nursing home, Omaha, NE, CCN 285085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions29
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
03253IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Memorial Hospital Emergency Medicine CurrentSince Jul 31, 2025 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Sep 1, 2001 Accepting new patients
Montgomery County Memorial Hospital CurrentSince Jun 25, 2025 Accepting new patients
Montgomery County Memorial Hospital CurrentSince Jun 25, 2025 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
Immanuel Long Term Care Past Accepting new patients

Locations

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

8613 N 30th St
Omaha, NE 68112
Phone (402) 451-2125

Interoperability endpoints

  • Direct secure messaging: jjacobs8535@achce.catholichealth.net

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1740229384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681121852",
            "telephone_number": "402-453-9900",
            "fax_number": "402-453-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JEFFERY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "33092",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "21795",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "21795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.