Active NPI
Jackie Lynn Ondracek, APRN, FNP-C
- Nurse Practitioner
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 113829
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Memorial Hospital
- CHI Health St. Francis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients | |
| Integrated Cardiology Group LLC | Nurse Practitioner | Current | 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
- 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.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
-
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1982653515
Nurse Practitioner
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1558910604
-
- Critical Access Hospital
- Aurora, NE
- NPI 1063429694
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1982675955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.