Jessie Lea Olesen, FNP
Individual provider Active NPI Family Nurse Practitioner · Smithfield, NE
NPI 1750923967 · NPPES record last updated Oct 9, 2019
Key facts
- NPI
- 1750923967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 112985 (NE)
- Practice address
- 74185 Road 436
Smithfield, NE 68976-1046 - Phone
- (308) 991-7334
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Care Medical PC
Practice addresses (Care Compare)
2605 2ND Ave
Kearney, NE 68847-4416
Phone (308) 236-7016
Hospital & facility affiliations
- CHI Health Good Samaritan
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191125002050 | NE | Practitioner - Nurse Practitioner | 7618300021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112985 | NE | MD | Family Nurse Practitioner |
Interoperability endpoints
- jessie.olesen.1@14940.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 112985 | NE | Yes |
Addresses
Primary practice location
74185 Road 436
Smithfield, NE 68976-1046
Mailing address
74185 Road 436
Smithfield, NE 68976-1046
Phone (308) 991-7334
Other providers in Smithfield, NE
All providers in Smithfield, NE · Family Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.