NPIMap

Individual provider Active NPI

Jamie R Staab-Peters, APRN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1740504810
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111117 Issued in NE
Practice address
4102 Woolworth Ave
Omaha, NE 68105-1851
Phone
(402) 444-7000
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111117 NE Primary

Addresses

Primary practice location

4102 Woolworth Ave
Omaha, NE 68105-1851

Mailing address

4600 S 86TH CT
Lincoln, NE 68526-9209
Phone (402) 444-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728001218 NE Practitioner - Nurse Practitioner 4587797469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health at Home Consultants LLCGroup PAC ID 9133252018, 12 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Lincoln, NE 68526
Phone (402) 875-2500

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.17 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
64.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111117NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health at Home Consultants LLC CurrentSince Jun 1, 2010 Accepting new patients
Accura Healthcare of Pierce LLC Past Accepting new patients
Premier Estates of Pierce, LLC Past Accepting new patients
Milford Meadows Care Center LLC Past Accepting new patients
VSL Lincoln Southlake LLC Past Accepting new patients
Sunrise Country Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1740504810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S 86TH CT",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269209",
            "telephone_number": "402-444-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051851",
            "telephone_number": "402-444-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAB-PETERS",
        "first_name": "JAMIE",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.