Individual provider Active NPI

Jordan Danielle Radel, APRN

  • Nurse Practitioner
  • Papillion, NE
National Provider Identifier
1801498282
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113399 Issued in NE
Practice address
312 Olson Dr Ste 101
Papillion, NE 68046-2981
Phone
(402) 933-6300
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 113399 NE Primary

Addresses

Primary practice location

312 Olson Dr Ste 101
Papillion, NE 68046-2981

Mailing address

9107 Charles St
Omaha, NE 68114-2222
Phone (402) 813-7031

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210001773 NE Practitioner - Nurse Practitioner 9032502299 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
Group practices
Sancta Familia Health Associates LLCGroup PAC ID 4284817727, 5 clinicians

Practice addresses (Care Compare)

10506 Burt Cir
Omaha, NE 68114-2094
Phone (402) 991-3393

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

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millard Premier Medicine and Aesthetics, L.P. CurrentSince Aug 7, 2023 Accepting new patients
Muc-Papillion LLC PastSince Nov 15, 2020 Accepting new patients

Locations

312 Olson Dr
Ste 101
Papillion, NE 68046
Phone (402) 933-6300

Interoperability endpoints

  • Direct secure messaging: jordan.radel.1@24878.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1801498282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 CHARLES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142222",
            "telephone_number": "402-813-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 OLSON DR STE 101",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462981",
            "telephone_number": "402-933-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEL",
        "first_name": "JORDAN",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.