Individual provider Active NPI

Jesse Gabriel

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1770934176
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112016 Issued in NE
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

Updated by the provider on Jun 27, 2016

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 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, AZ2 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
I20160815000165 NE Practitioner - Nurse Practitioner 1254625205 Reassigns benefits to 1 organization
I20240628003918 AZ Practitioner - Nurse Practitioner 1254625205 Reassigns benefits to 1 organization

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
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

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

LicenseStateTypeSpecialty
112016NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Physicians of Nebraska LLC CurrentSince Jul 1, 2022 Accepting new patients
New Century Physicians of Nebraska LLC Current Accepting new patients
Hydr8, LLC CurrentSince Jan 1, 2023 Accepting new patients
Northwest Urgent Care LLC CurrentSince Aug 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.