Individual provider Active NPI

Jackie Lynn Ondracek, APRN, FNP-C

  • Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1861161283
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113829 Issued in NE
Practice address
3563 Prairieview St Ste 200
Grand Island, NE 68803-4442
Phone
(308) 382-2010
Fax
(308) 382-9549
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113829 NE Primary

Addresses

Primary practice location

3563 Prairieview St Ste 200
Grand Island, NE 68803-4442

Mailing address

3563 Prairieview St Ste 200
Grand Island, NE 68803-4442
Phone (308) 382-2010

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
I20211028000742 NE Practitioner - Nurse Practitioner 2769889518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

Hospital & facility affiliations

  • Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
  • Memorial Hospital Hospital, Aurora, NE, CCN 281320
  • CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince Dec 20, 2021 Accepting new patients
Integrated Cardiology Group LLC Nurse Practitioner CurrentSince Jul 1, 2022 Accepting new patients

Locations

1423 7th St
Aurora, NE 68818
Phone (402) 694-3171

3563 Prairieview St
Ste 200A
Grand Island, NE 68803

3563 Prairieview St
Ste 200
Grand Island, NE 68803
Phone (308) 382-2010

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Interoperability endpoints

  • Direct secure messaging: jondracek139801@hisp.bryanhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1861161283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 PRAIRIEVIEW ST STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034442",
            "telephone_number": "308-382-2010",
            "fax_number": "308-382-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 PRAIRIEVIEW ST STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034442",
            "telephone_number": "308-382-2010",
            "fax_number": "308-382-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDRACEK",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.