Individual provider Active NPI

Jessica Monico Klaasmeyer, APRN

  • Nurse Practitioner
  • Elkhorn, NE
National Provider Identifier
1801566641
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113816 Issued in NE
Practice address
2303 N 186TH St
Elkhorn, NE 68022-7104
Phone
(402) 301-1677
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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 113816 NE Primary

Addresses

Primary practice location

2303 N 186TH St
Elkhorn, NE 68022-7104

Mailing address

2303 N 186TH St
Elkhorn, NE 68022-7104
Phone (402) 301-1677

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
I20211117000451 NE Practitioner - Nurse Practitioner 4688063472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Methodist Fremont HealthGroup PAC ID 7911258520, 89 clinicians

Practice addresses (Care Compare)

450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610

Hospital & facility affiliations

  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113816NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madonna Rehabilitation Hospital CurrentSince Dec 1, 2021 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Methodist Fremont Health CurrentSince Jan 7, 2022 Accepting new patients
Nebraska Methodist Hospital Nurse Practitioner CurrentSince Jan 7, 2022 Accepting new patients
Arbor Care Centers - Fullerton LLC PastSince May 1, 2023 Accepting new patients
Arbor Care Centers - Tekamah LLC PastSince May 1, 2023 Accepting new patients

Locations

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

Interoperability endpoints

  • Direct secure messaging: jessica.klaasmeyer@direct.nmhs.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arbor Care Centers - Valhaven LLCValley, NE, CCN 285117 Skilled nursing facility 5% Or Greater Direct Ownership Interest (25%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (25%)
May 1, 2023
May 1, 2023
May 1, 2023
May 1, 2023
Arbor Care Centers - Countryside LLCMadison, NE, CCN 285207 Skilled nursing facility 5% Or Greater Direct Ownership Interest (25%)
Operational/Managerial Control
Adp of the SNF
May 1, 2023
May 1, 2023
May 1, 2023
Arbor Care Centers - Ord LLCOrd, NE, CCN 285294 Skilled nursing facility 5% Or Greater Direct Ownership Interest (25%)
Operational/Managerial Control
Adp of the SNF
May 1, 2023
May 1, 2023
May 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1801566641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 N 186TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680227104",
            "telephone_number": "402-301-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 N 186TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680227104",
            "telephone_number": "402-301-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAASMEYER",
        "first_name": "JESSICA",
        "middle_name": "MONICO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.