NPIMap

Individual provider Active NPI

Jane A McDonald, M.D.

  • Internal Medicine Physician
  • Grand Island, NE
National Provider Identifier
1760421283
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19659 Issued in NE
Practice address
3563 Prairieview St Ste 200
Grand Island, NE 68803-4442
Phone
(308) 382-2010
Fax
(308) 382-9549
NPI assigned
Jun 6, 2006
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19659 NE Primary

Addresses

Primary practice location

3563 Prairieview St Ste 200
Grand Island, NE 68803-4442

Mailing address

3563 Prairieview St Ste 200
Grand Island, NE 68803-4442
Phone (308) 382-2010

Other identifiers 2

IdentifierTypeStateIssuer
110130898OtherNEMEDICARE PIN RAILROAD
47071903803MedicaidNE

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
I20071119000565 NE Practitioner - Internal Medicine 7719082551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Regional Medical Center CurrentSince Jan 4, 2021 Accepting new patients
Bryan Physician Network Internal Medicine CurrentSince Oct 29, 2019 Accepting new patients
Integrated Cardiology Group LLC CurrentSince Jul 1, 2022 Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients

Locations

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

3563 Prairieview St
Ste 200
Grand Island, NE 68803
Phone (308) 382-2010

3563 Prairieview St
Ste 200A
Grand Island, NE 68803

800 N Alpha St
Grand Island, NE 68803
Phone (308) 382-2010

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Interoperability endpoints

  • Direct secure messaging: jmcdonald54638@hisp.bryanhealth.org

Organizations & group practices 4

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 10

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": "1634169600000",
    "number": "1760421283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 PRAIRIEVIEW ST STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034442",
            "telephone_number": "308-382-2010",
            "fax_number": "308-382-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 PRAIRIEVIEW ST STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034442",
            "telephone_number": "308-382-2010",
            "fax_number": "308-382-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JANE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "19659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN RAILROAD",
            "identifier": "110130898",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47071903803",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.