Individual provider Active NPI

Ashley Nicole Jensen, PA-C

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1811730286
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3130 Issued in NE
Practice address
6700 Mercy Rd Ste 109
Omaha, NE 68106-2629
Phone
(402) 354-2273
Fax
(402) 354-6680
NPI assigned
Jun 14, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 126593 IA
Nurse Practitioner 363L00000X 3130 NE Primary

Addresses

Primary practice location

6700 Mercy Rd Ste 109
Omaha, NE 68106-2629

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-4230

Other practice location 1

808 E Pierce St
Council Bluffs, IA 51503-4601
Phone (402) 354-2273

Other names 1

  • Ashley Nicole Borchers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20240912004169 IA Practitioner - Physician Assistant 1557801826 Reassigns benefits to 1 organization
I20240912004237 NE Practitioner - Physician Assistant 1557801826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

1 Edmundson PL
Council Bluffs, IA 51503-4658
Phone (712) 396-4000

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

101 E Centennial Rd
Physicians Clinic Papillion
Papillion, NE 68046-2079
Phone (402) 354-7750

8901 W Dodge Rd
Omaha, NE 68114-3327
Phone (402) 390-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126593IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Physician Assistant CurrentSince Sep 30, 2024 Accepting new patients
Physicians Clinic Inc CurrentSince Oct 6, 2024 Accepting new patients

Locations

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

6700 Mercy Rd
Ste 109
Omaha, NE 68106
Phone (402) 354-2273

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1811730286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 MERCY RD STE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062629",
            "telephone_number": "402-354-2273",
            "fax_number": "402-354-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 E Pierce St",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515034601",
            "country_code": "US",
            "telephone_number": "402-354-2273",
            "fax_number": "712-396-7069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "126593",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "3130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BORCHERS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.