Active NPI
Jessica Anne Kotopka, PA-C
- Rural Health Clinic/Center
- Alliance, NE
National Provider Identifier
1801548433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 2704
- Practice address
- 2091 Box Butte Ave Ste 700
Alliance, NE 69301 - Phone
- (308) 762-7244
- Fax
- (308) 762-6657
- NPI assigned
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2704 | NE | |
| Rural Health Clinic/Center | 261QR1300X | 2704 | NE | Primary |
Addresses
Primary practice location
2091 Box Butte Ave Ste 700
Alliance, NE 69301
Mailing address
2091 Box Butte Ave Ste 700
Alliance, NE 69301
Phone (308) 762-7244
Other names 1
- Jessica Anne Hartman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhartman@bbgh.securechart.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4525 S 86TH St
Suite B
Lincoln, NE 68526-9277
Phone (402) 483-7507
Hospital & facility affiliations
- Box Butte General Hospital
- Bryan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Lincoln Family Health Professionals, PC | Current | Accepting new patients | |
| Regional West Physicians Clinic | Rural Health | Past | Accepting new patients |
Locations
4525 S 86th St
Ste B
Lincoln, NE 68526
Phone (402) 483-7507
Interoperability endpoints
- jhartman@bbgh.securechart.com
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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1114032281
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Alliance, NE
- NPI 1811929060
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1801548433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 BOX BUTTE AVE STE 700",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "69301",
"telephone_number": "308-762-7244",
"fax_number": "308-762-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2091 BOX BUTTE AVE STE 700",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "69301",
"telephone_number": "308-762-7244",
"fax_number": "308-762-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTOPKA",
"first_name": "JESSICA",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2024-07-12",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2704",
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NE",
"license": "2704",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhartman@bbgh.securechart.com",
"affiliation": "N",
"endpointDescription": "Jessica Hartman",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2102 Box Butte Ave",
"city": "Alliance",
"state": "NE",
"country_code": "US",
"postal_code": "693014416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HARTMAN",
"middle_name": "ANNE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.