Individual provider Active NPI

Jessie Lea Olesen, FNP

  • Family Nurse Practitioner
  • Smithfield, NE
National Provider Identifier
1750923967
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112985 Issued in NE
Practice address
74185 Road 436
Smithfield, NE 68976-1046
Phone
(308) 991-7334
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112985 NE Primary

Addresses

Primary practice location

74185 Road 436
Smithfield, NE 68976-1046

Mailing address

74185 Road 436
Smithfield, NE 68976-1046
Phone (308) 991-7334

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
I20191125002050 NE Practitioner - Nurse Practitioner 7618300021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care Medical PCGroup PAC ID 6305901513, 6 clinicians

Practice addresses (Care Compare)

2605 2ND Ave
Kearney, NE 68847-4416
Phone (308) 236-7016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: jessie.olesen.1@14940.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1750923967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74185 ROAD 436",
            "city": "SMITHFIELD",
            "state": "NE",
            "postal_code": "689761046",
            "telephone_number": "308-991-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74185 ROAD 436",
            "city": "SMITHFIELD",
            "state": "NE",
            "postal_code": "689761046",
            "telephone_number": "308-991-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESEN",
        "first_name": "JESSIE",
        "middle_name": "LEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NE

Sources for this page

Verify at the official NPI Registry.