Active NPI
Jennifer Marie Axt, APRN-C
- Family Nurse Practitioner
- Grand Island, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 110664
- Practice address
- 2300 W Capital Ave
Grand Island, NE 68803-2003 - Phone
- (308) 385-6252
- Fax
- (308) 385-5683
- NPI assigned
- Jul 7, 2005
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 110664 | NE | Primary |
Addresses
Primary practice location
2300 W Capital Ave
Grand Island, NE 68803-2003
Mailing address
2300 W Capital Ave
Grand Island, NE 68803-2003
Phone (308) 385-6252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00159863 | Other | NE | PALMENTO D/B/A RR MEDICAR |
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
- University of Nebraska College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7401 O St
Lincoln, NE 68510-2444
Phone (402) 484-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110664 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Nephrology & Hypertension PC | Current | Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients |
Locations
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
7401 O St
Lincoln, NE 68510
Phone (402) 484-5600
7441 O St
Ste 304
Lincoln, NE 68510
Phone (402) 416-0948
2319 N Lincoln Ave
York, NE 68467
Phone (402) 362-1444
Interoperability endpoints
- jennifer.axt@direct.davitaphysiciansolutions.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Lincoln, NE
- NPI 1528077880
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beatrice, NE
- NPI 1184642894
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
dba Syracuse Area Health
- Critical Access Hospital
- Syracuse, NE
- NPI 1013925924
-
dba Jefferson Community Health Center
- Critical Access Hospital
- Fairbury, NE
- NPI 1477660397
-
dba CHI Health St. Elizabeth
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962400671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W CAPITAL AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688032003",
"telephone_number": "308-385-6252",
"fax_number": "308-385-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W CAPITAL AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688032003",
"telephone_number": "308-385-6252",
"fax_number": "308-385-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXT",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "APRN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "110664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMENTO D/B/A RR MEDICAR",
"identifier": "P00159863",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
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- Avenir Ventures, L.L.C. (AseraCare Serious Illness Support Program)
- Anayeli Avina
- Stacie Marie Avina, CNA, MA, ALA
- Awaken Healing Services, LLC
- B & R Stores Inc (Super Saver Pharmacy #28)
- B&R Stores, Inc (Skagway Pharmacy #29)
- B&R Stores, Inc (Super Saver Pharmacy #19)
- B&R Stores, Inc (Skagway Pharmacy #28)
- Beverly Colleen Babcock, LIMHP, LMNT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.