Active NPI
Jessica Monico Klaasmeyer, APRN
- Nurse Practitioner
- Elkhorn, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 113816
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610
Hospital & facility affiliations
- Methodist Fremont Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113816 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madonna Rehabilitation Hospital | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Methodist Fremont Health | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Nurse Practitioner | Current | Accepting new patients |
| Arbor Care Centers - Fullerton LLC | Past | Accepting new patients | |
| Arbor Care Centers - Tekamah LLC | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arbor Care Centers - Valhaven LLC | 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 LLC | 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 LLC | 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.
-
- Skilled Nursing Facility
- Madison, NE
- NPI 1811501596
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Ord, NE
- NPI 1598363319
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Valley, NE
- NPI 1689234056
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
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.
-
- Physical Medicine & Rehabilitation Physician
- Lincoln, NE
- NPI 1417045642
NE
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
NE, Nurse Practitioner
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Skilled Nursing Facility
- Fullerton, NE
- NPI 1720630635
-
- Skilled Nursing Facility
- Tekamah, NE
- NPI 1073167441
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.