Individual provider Active NPI

Jed R Hansen, APRN, FNP-C

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1760159453
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113789 Issued in NE
Practice address
8141 W Center Rd Ste 200
Omaha, NE 68124-3273
Phone
(402) 717-3000
Fax
(402) 717-3030
NPI assigned
Aug 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113789 NE Primary
Registered Nurse 163W00000X 75867 NE

Addresses

Primary practice location

8141 W Center Rd Ste 200
Omaha, NE 68124-3273

Mailing address

15280 Cuming St # Ne68154
Omaha, NE 68154-1846
Phone (402) 686-0564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211115000540 NE Practitioner - Nurse Practitioner 6507255445 Reassigns benefits to 1 organization
I20221119000383 IA Practitioner - Nurse Practitioner 6507255445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75867NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Sep 10, 2022 Accepting new patients
Alegent Creighton Clinic CurrentSince Nov 1, 2021 Accepting new patients

Locations

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

8141 W Center Rd
Ste 200
Omaha, NE 68124
Phone (402) 391-3870

8141 W Center Rd
Omaha, NE 68124
Phone (402) 391-1100

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

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

Organizations & group practices 2

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1760159453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 CUMING ST # NE68154",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541846",
            "telephone_number": "402-686-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8141 W CENTER RD STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243273",
            "telephone_number": "402-717-3000",
            "fax_number": "402-717-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113789",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "75867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.