Jon P Becker, PA
Individual provider Active NPI Physician Assistant · Minden, NE
NPI 1811913635 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1811913635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 583 (NE)
- Practice address
- 727 E 1St St
Minden, NE 68959-1705 - Phone
- (308) 832-3400
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.6 of 100
- Quality
- 82.13
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 583 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 583 | NE | Yes |
Addresses
Primary practice location
727 E 1St St
Minden, NE 68959-1705
Mailing address
727 E 1St St
Minden, NE 68959-1705
Phone (308) 832-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37767 | Other | NE | BLUE CROSS BLUE SHIELD |
Other providers in Minden, NE
- Douglas J Althouse
- Julie Marie Anderson
- Alyssa Iris Arp
- Autumn Bailey
- Emalie Baker
- Bethany Home, Inc.
- Christopher Lee Birkestrand
- Bolen Eigenberg PC
- Zachariah JM Breeden
- Kaitlyn M Carlson
All providers in Minden, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.