Active NPI
Mark Layne Jenson, M.D.
- Pediatric Orthopaedic Surgery Physician
- Boys Town, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- S3405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.125843 | IL | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Father Flanagan'S Boys' Home | Orthopaedic Surgery | Current | Accepting new patients |
| BHS Physicians Network, Inc | Current | 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.
-
dba Boys Town Professional Services
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
Orthopaedic Surgery
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
dba Boys Town Center for Behavioral Health
- Psychologist
- Boys Town, NE
- NPI 1265405419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.