Individual provider Active NPI

Jessica Failla

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1770969123
Registry record updated Aug 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Nebraska Medicine Family Medicine Durham Ctr
4400 Emile Street
Omaha, NE 68198-0001
Phone
(402) 559-7200
NPI assigned
Aug 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

Nebraska Medicine Family Medicine Durham Ctr
4400 Emile Street
Omaha, NE 68198-0001

Mailing address

16120 Josephine St
Omaha, NE 68136-1053
Phone (402) 980-0901

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
I20151113001308 NE Practitioner - Physician Assistant 1052621471 Reassigns benefits to 1 organization
I20260403001109 IA Practitioner - Physician Assistant 1052621471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1226 N Washington St
103 Foot and Ankle Center of Nebraska
Papillion, NE 68046-3064
Phone (402) 391-7575

411 E Broadway
Council Bluffs, IA 51503-4417
Phone (402) 391-7575

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-6060

9006 Ohio St
Omaha, NE 68134-6139
Phone (402) 391-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Center of Nebraska, P.C. CurrentSince Aug 10, 2021 Accepting new patients
Foot and Ankle Center of Nebraska, P.C. CurrentSince Aug 10, 2021 Accepting new patients

Locations

411 E Broadway
Council Bluffs, IA 51503
Phone (402) 391-7575

9006 Ohio St
Omaha, NE 68134
Phone (402) 391-7575

7500 Mercy Rd
Ste 4300
Omaha, NE 68124
Phone (402) 398-5665

9006 Ohio St
Ste 1
Omaha, NE 68134
Phone (402) 391-7575

1226 N Washington St
Papillion, NE 68046
Phone (402) 391-7575

Interoperability endpoints

  • Direct secure messaging: jfailla@usfas.emadirect.md

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": "1438992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440806400000",
    "number": "1770969123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16120 JOSEPHINE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361053",
            "telephone_number": "402-980-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEBRASKA MEDICINE FAMILY MEDICINE DURHAM CTR",
            "address_2": "4400 EMILE STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681980001",
            "telephone_number": "402-559-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILLA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-08",
        "last_updated": "2015-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.