Individual provider Active NPI

Jessica Lynn Larson, MD

  • Gastroenterology Physician
  • Lincoln, NE
National Provider Identifier
1780200238
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
37411 Issued in NE
Practice address
4545 R St
Lincoln, NE 68503-3799
Phone
(402) 465-4545
NPI assigned
Jun 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 37411 NE Primary

Addresses

Primary practice location

4545 R St
Lincoln, NE 68503-3799

Mailing address

4545 R St
Lincoln, NE 68503-3799
Phone (402) 465-4545

Other names 1

  • Ms. Jessica Lynn McKeown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260515000597 NE Practitioner - Gastroenterology 7618395005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4545 R St
Suite 100
Lincoln, NE 68503-3723

4545 R St
Suite 100
Lincoln, NE 68503-3799

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37411NEMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialties, P.C. CurrentSince May 1, 2026 Accepting new patients
Lincoln Digestive Health Center LLC PastSince May 1, 2026 Accepting new patients

Locations

4545 R St
Ste 100
Lincoln, NE 68503
Phone (402) 465-4545

3901 Pine Lake Rd
Ste 211
Lincoln, NE 68516
Phone (402) 421-2100

4545 R St
Lincoln, NE 68503
Phone (402) 465-4545

Interoperability endpoints

  • FHIR API: https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/

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": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1780200238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 R ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033799",
            "telephone_number": "402-465-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 R ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033799",
            "telephone_number": "402-465-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-21",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "37411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCKEOWN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.