NPIMap

Individual provider Active NPI

Allyson Mara Jablonski, DNP, APRN-NP, FNP-BC

  • Family Nurse Practitioner
  • Imperial, NE
National Provider Identifier
1871273300
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114912 Issued in NE
Practice address
600 W 12TH St
Imperial, NE 69033-3130
Phone
(308) 414-1720
NPI assigned
Jul 19, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114912 NE Primary
General Practice Registered Nurse 163WG0000X 73562 NE

Addresses

Primary practice location

600 W 12TH St
Imperial, NE 69033-3130

Mailing address

600 W 12TH St
Imperial, NE 69033-3130
Phone (308) 882-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912003742 NE Practitioner - Nurse Practitioner 9537523329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chase County Community HospitalGroup PAC ID 2567436736, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

600 W 12TH St
Imperial, NE 69033-3131
Phone (308) 882-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73562NEMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chase County Community Hospital CurrentSince Oct 1, 2023 Accepting new patients
Chase County Community Hospital Current Accepting new patients
Chase County Community Hospital Past Accepting new patients

Locations

600 W 12th St
Imperial, NE 69033
Phone (308) 882-7111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e699c25a-4b9f-4771-9576-e790a1116e0f/

Organizations & group practices 3

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 5

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1871273300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 12TH ST",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333130",
            "telephone_number": "308-882-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 12TH ST",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333130",
            "telephone_number": "308-414-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONSKI",
        "first_name": "ALLYSON",
        "middle_name": "MARA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-NP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114912",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NE",
            "license": "73562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, NE

Sources for this page

Verify at the official NPI Registry.