NPIMap

Individual provider Active NPI

Jessica Ann Bergquist, PA-C

  • Physician Assistant
  • Holdrege, NE
National Provider Identifier
1821742941
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2725 Issued in NE
Practice address
1215 Tibbals St
Holdrege, NE 68949-1255
Phone
(308) 995-2942
NPI assigned
Feb 8, 2022
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2725 NE Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308000868 NE Practitioner - Physician Assistant 3072907096 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phelps Memorial Health CenterGroup PAC ID 9931011947, shared by 4 NPIs, 35 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2725NEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Harlan County Health System CurrentSince Jan 1, 2026 Accepting new patients
Harlan County Health System Physician Assistant CurrentSince Jan 1, 2026 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 18, 2023 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Phelps Memorial Health Center Physician Assistant CurrentSince Mar 3, 2022 Accepting new patients
Phelps Memorial Health Center Physician Assistant CurrentSince Mar 3, 2022 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

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

516 W 14th Ave
#100
Holdrege, NE 68949
Phone (308) 995-4431

211 W 33rd St
Kearney, NE 68845
Phone (308) 236-5884

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Organizations & group practices 7

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 5

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1821742941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CORNWALL ST",
            "city": "OXFORD",
            "state": "NE",
            "postal_code": "689679577",
            "telephone_number": "308-293-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 TIBBALS ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491255",
            "telephone_number": "308-995-2942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 W 33rd St",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688453484",
            "country_code": "US",
            "telephone_number": "308-865-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.