Jessica Ann Bergquist, PA-C
Individual provider Active NPI Physician Assistant · Holdrege, NE
NPI 1821742941 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1821742941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2725 (NE)
- Practice address
- 1215 Tibbals St
Holdrege, NE 68949-1255 - Phone
- (308) 995-2942
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phelps Memorial Health Center
Alegent Creighton Clinic
Practice addresses (Care Compare)
1215 Tibbals St
Holdrege, NE 68949-1255
Phone (308) 995-2211
16909 Lakeside Hills CT
Omaha, NE 68130-4661
211 W 33Rd St
Kearney, NE 68845-3484
Phone (308) 865-2141
Hospital & facility affiliations
- Phelps Memorial Health Center
- Harlan County Health System
- Kearney Regional Medical Center
- CHI Health Good Samaritan
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220308000868 | NE | Practitioner - Physician Assistant | 3072907096 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2725 | NE | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlan County Health System | Physician Assistant | Current |
Accepting new patients |
| Alegent Creighton Clinic | Current |
Accepting new patients | |
| Harlan County Health System | Current |
Accepting new patients | |
| Phelps Memorial Health Center | Current | Accepting new patients | |
| Phelps Memorial Health Center | Physician Assistant | Current |
Accepting new patients |
| Alegent Creighton Clinic | Physician Assistant | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
717 Brown St
Alma, NE 68920
Phone (308) 928-2151
516 W 14th Ave
#100
Holdrege, NE 68949
Phone (308) 995-4431
1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211
211 W 33rd St
Kearney, NE 68845
Phone (308) 236-5884
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2725 | NE | Yes |
Addresses
Primary practice location
1215 Tibbals St
Holdrege, NE 68949-1255
Mailing address
800 E Cornwall St
Oxford, NE 68967-9577
Phone (308) 293-0076
Other practice location 1
211 W 33rd St
Kearney, NE 68845-3484
Phone (308) 865-2141
Other providers in Holdrege, NE
- Sarah L Bader
- Jill M Bauer
- Lacey Marie Becker
- Mattie Bell
- Teresa Ann Benjamin
- Jeffrey Reed Berney
- Bilka Chiropractic, LLC
- Lyndsey Marie Bilka
- Jody Borg
- Kaitlin Ann Boston
All providers in Holdrege, 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 Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- 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.