Individual provider Active NPI

Mark Layne Jenson, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Boys Town, NE
National Provider Identifier
1831382639
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
S3405 Issued in TX
Practice address
14040 Boys Town Hospital Rd
Boys Town, NE 68010-7521
Phone
(531) 355-6800
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036.125843 IL
Pediatric Orthopaedic Surgery Physician 207XP3100X 036.125843 IL
Pediatric Orthopaedic Surgery Physician 207XP3100X S3405 TX Primary

Addresses

Primary practice location

14040 Boys Town Hospital Rd
Boys Town, NE 68010-7521

Mailing address

14040 Boys Town Hospital Rd
Boys Town, NE 68010-7521
Phone (531) 355-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110824000326 NE Practitioner - Orthopedic Surgery 8426228735 Reassigns benefits to 1 organization
I20191017002404 TX Practitioner - Orthopedic Surgery 8426228735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Father Flanagans Boys HomeGroup PAC ID 9638165400, 93 clinicians

Practice addresses (Care Compare)

14040 Boys Town Hospital Rd
Suite 200
Boys Town, NE 68010-7521
Phone (531) 355-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.125843ILMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Aug 30, 2019 Accepting new patients
Father Flanagan'S Boys' Home Orthopaedic Surgery CurrentSince Mar 7, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 30, 2019 Accepting new patients
Father Flanagan'S Boys Home Past Accepting new patients

Locations

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

14040 Boys Town Hospital Rd
Ste 200
Boys Town, NE 68010
Phone (531) 355-6800

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

14000 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6000

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

540 Madison Oak Dr
Ste 620
San Antonio, TX 78258
Phone (210) 640-1630

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1831382639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 BOYS TOWN HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107521",
            "telephone_number": "531-355-6800",
            "fax_number": "531-355-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 BOYS TOWN HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107521",
            "telephone_number": "531-355-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSON",
        "first_name": "MARK",
        "middle_name": "LAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2024-01-15",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036.125843",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "IL",
            "license": "036.125843",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "S3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boys Town, NE

Sources for this page

Verify at the official NPI Registry.