Individual provider Active NPI

Jeffrey Chinison

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1790377323
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113257 Issued in NE
Practice address
15418 Weir St # 102
Omaha, NE 68137-5045
Phone
(402) 281-3239
NPI assigned
Feb 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113257 NE Primary

Addresses

Primary practice location

15418 Weir St # 102
Omaha, NE 68137-5045

Mailing address

15418 Weir St # 102
Omaha, NE 68137-5045
Phone (402) 281-3239

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
I20220810002135 NE Practitioner - Nurse Practitioner 8224411160 Reassigns benefits to 2 organizations
I20250918001258 IA Practitioner - Nurse Practitioner 8224411160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15418 Weir St
Suite 102
Omaha, NE 68137-5045
Phone (402) 281-3239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
113257NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care B PC CurrentSince Jun 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 28, 2024 Accepting new patients
Metro Mobile Urgent Care CurrentSince Aug 21, 2023 Accepting new patients
Treasured Words PastSince May 1, 2022 Accepting new patients

Locations

400 E Court Ave
Ste 110
Des Moines, IA 50309

15418 Weir St
Omaha, NE 68137
Phone (402) 281-3239

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

304 Olson Dr
Ste 115741
Papillion, NE 68046
Phone (402) 281-3239

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 4

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1790377323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15418 WEIR ST # 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375045",
            "telephone_number": "402-281-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15418 WEIR ST # 102",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375045",
            "telephone_number": "402-281-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINISON",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.