Individual provider Active NPI

Jason M Gillespie, FNP-BC

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1780998559
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-126699 Issued in IA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 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, NE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120628000363 IA Practitioner - Nurse Practitioner 0345405122
I20200707000368 TX Practitioner - Nurse Practitioner 0345405122 Reassigns benefits to 1 organization
I20231019002922 NE Practitioner - Nurse Practitioner 0345405122 Reassigns benefits to 2 organizations

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
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

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

LicenseStateTypeSpecialty
A-126699IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spearcorn Investments, LLC CurrentSince Jan 7, 2025 Accepting new patients
Unmc Physicians CurrentSince Jan 22, 2026 Accepting new patients
Cornerstone Wound, LLC CurrentSince Oct 21, 2025 Accepting new patients
Ponca Tribe of Nebraska CurrentSince Mar 20, 2020 Accepting new patients
Hy-Vee Health Exemplar Care PLC CurrentSince May 1, 2025 Accepting new patients
Muc-Papillion LLC PastSince Sep 17, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.