Active NPI
Jesse Gabriel
- Family Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 112016
- Practice address
- 8200 Dodge St
Omaha, NE 68114-4113 - Phone
- (402) 955-5400
- NPI assigned
- Jun 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 112016 | NE | Primary |
Addresses
Primary practice location
8200 Dodge St
Omaha, NE 68114-4113
Mailing address
16349 Meredith Ave
Omaha, NE 68116-8008
Phone (402) 850-6790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1040 S Harrison Rd
Suite 120
Tucson, AZ 85748-6601
Phone (520) 989-8255
3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616
4001 E Sunrise Dr
Suite 121
Tucson, AZ 85718-4326
Phone (520) 209-7000
6303 E Broadway Blvd
Suite 161
Tucson, AZ 85710-3549
Phone (520) 989-8243
6572 E Grant Rd
Suite 130
Tucson, AZ 85715-3810
Phone (520) 989-8259
7375 S Houghton Rd
Suite 115
Tucson, AZ 85747-9302
Phone (520) 640-6300
7895 E Broadway Blvd
Tucson, AZ 85710-3943
Phone (520) 543-6770
9175 E Tanque Verde Rd
Tucson, AZ 85749-8820
Phone (520) 989-8241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112016 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| New Century Physicians of Nebraska LLC | Current | Accepting new patients | |
| Hydr8, LLC | Current | Accepting new patients | |
| Northwest Urgent Care LLC | Current | Accepting new patients | |
| Sonoran Radiology LTD | Nurse Practitioner | Past | Accepting new patients |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Urgent Care Group LLC | Past | Accepting new patients |
Locations
3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000
7375 S Houghton Rd
Ste 115
Tucson, AZ 85747
Phone (520) 640-6300
18210 Wright St
Omaha, NE 68130
Phone (531) 999-1813
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
Interoperability endpoints
- jesse.gabriel.1@1576.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1528683455
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1922735406
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1013916600
-
- Emergency Medicine Physician
- Papillion, NE
- NPI 1063411833
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1144528035
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1770934176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16349 MEREDITH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681168008",
"telephone_number": "402-850-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-955-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "JESSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "112016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.