Active NPI
Jason M Gillespie, FNP-BC
- Family Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-126699
- Practice address
- 5062 S 155TH St
Omaha, NE 68137-5040 - Phone
- (402) 810-9494
- Fax
- (402) 810-9498
- NPI assigned
- Aug 3, 2010
- Last updated
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
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 | A-126699 | IA | Primary |
Addresses
Primary practice location
5062 S 155TH St
Omaha, NE 68137-5040
Mailing address
116 Firethorn Dr
Treynor, IA 51575-5010
Phone (712) 355-1530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, TX, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2510 Bellevue Medical Ctr Dr
Suite 200
Bellevue, NE 68123-1520
Phone (402) 595-2275
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-126699 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spearcorn Investments, LLC | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Cornerstone Wound, LLC | Current | Accepting new patients | |
| Ponca Tribe of Nebraska | Current | Accepting new patients | |
| Hy-Vee Health Exemplar Care PLC | Current | Accepting new patients | |
| Muc-Papillion LLC | Past | Accepting new patients |
Locations
7300 Westown Pkwy
Ste 330
West Des Moines, IA 50266
Phone (515) 650-4370
2510 Bellevue Medical Center Dr
Ste 200
Bellevue, NE 68123
Phone (402) 575-2275
11837 Miracle Hills Dr
Ste 200
Omaha, NE 68154
Phone (402) 214-1242
2602 J St
Omaha, NE 68107
Phone (402) 733-3612
5805 S 86th Cir
Ralston, NE 68127
Interoperability endpoints
- jason.gillespie.1@25062.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
dba Fred LeRoy Health & Wellness Center
- Clinic/Center
- Omaha, NE
- NPI 1710172879
TX
-
dba Nebraska Wellness Group
- Family Medicine Physician
- Omaha, NE
- NPI 1154190338
-
- Family Medicine Physician
- Omaha, NE
- NPI 1447127246
-
- Family Medicine Physician
- West Des Moines, IA
- NPI 1780270652
-
dba Midlands Family Urgent Care
- Urgent Care Clinic/Center
- Papillion, NE
- NPI 1841159944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bellevue Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1780998559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 FIRETHORN DR",
"city": "TREYNOR",
"state": "IA",
"postal_code": "515755010",
"telephone_number": "712-355-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5062 S 155TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681375040",
"telephone_number": "402-810-9494",
"fax_number": "402-810-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "JASON",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-03",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-126699",
"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 May 24, 2023; 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.