Individual provider Active NPI

Jenna Lynn Witt, NP

  • Acute Care Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1851642466
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
111372 Issued in NE
Practice address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone
(402) 371-4880
Fax
(402) 644-7510
NPI assigned
Sep 21, 2012
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 111372 NE Primary

Addresses

Primary practice location

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Mailing address

2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone (402) 371-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121205000024 NE Practitioner - Nurse Practitioner 6800048463 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians
Diabetes and Wellness Clinic LLCGroup PAC ID 9638210305, 2 clinicians

Practice addresses (Care Compare)

2700 W Norfolk Ave
Faith Regional Health Services
Norfolk, NE 68701-4438
Phone (402) 371-4880

809 /2 S 13TH St
Norfolk, NE 68701-5753
Phone (402) 379-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Health Services CurrentSince Nov 3, 2015 Accepting new patients
Diabetes and Wellness Clinic LLC CurrentSince Oct 18, 2024 Accepting new patients
Midwest OB/GYN Clinic, PC CurrentSince Dec 1, 2015 Accepting new patients
Faith Regional Health Services CurrentSince Nov 3, 2015 Accepting new patients
Norfolk Podiatry Center,LLC Past Accepting new patients

Locations

1410 N 13th St
Norfolk, NE 68701
Phone (402) 371-0123

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

809 S 13th St
Norfolk, NE 68701
Phone (402) 379-9600

Organizations & group practices 6

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 1

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": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1851642466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-371-4880",
            "fax_number": "402-644-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-371-4880",
            "fax_number": "402-644-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "111372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.