Individual provider Active NPI

Jill C McTaggart, MD

  • Obstetrics & Gynecology Physician
  • Omaha, NE
National Provider Identifier
1932164993
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18286 Issued in NE
Practice address
1910 S 72ND St
Ste 206
Omaha, NE 68124-1743
Phone
(402) 614-2233
Fax
(402) 397-5925
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 18286 NE Primary

Addresses

Primary practice location

1910 S 72ND St
Ste 206
Omaha, NE 68124-1743

Mailing address

PO Box 8337
Omaha, NE 68108-0337
Phone (402) 341-2197

Other identifiers 1

IdentifierTypeStateIssuer
10024951000MedicaidNE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000868 NE Practitioner - Obstetrics/Gynecology 5991880965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1910 S 72ND St
Suite 302
Omaha, NE 68124-1734
Phone (402) 614-2233

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-6060

Hospital & facility affiliations

  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
McTaggart OB-GYN, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2003 Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

1910 S 72nd St
Ste 302
Omaha, NE 68124
Phone (402) 391-2635

1910 S 72nd St
Ste 206
Omaha, NE 68124
Phone (402) 614-2233

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 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1932164993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8337",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681080337",
            "telephone_number": "402-341-2197",
            "fax_number": "402-341-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S 72ND ST",
            "address_2": "STE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241743",
            "telephone_number": "402-614-2233",
            "fax_number": "402-397-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTAGGART",
        "first_name": "JILL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "18286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024951000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.