Individual provider Active NPI

Jennifer Marie Axt, APRN-C

  • Family Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1962400671
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110664 Issued in NE
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00159863OtherNEPALMENTO 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000563 NE Practitioner - Nurse Practitioner 4981652377 Reassigns benefits to 1 organization

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
Lincoln Nephrology and Hypertension PCGroup PAC ID 7315931771, 14 clinicians

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

LicenseStateTypeSpecialty
110664NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Nephrology & Hypertension PC CurrentSince Aug 29, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Sources for this page

Verify at the official NPI Registry.