NPIMap

Individual provider Active NPI

Jayne Elizabeth Nelson

  • Family Nurse Practitioner
  • Hastings, NE
National Provider Identifier
1982251096
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112932 Issued in NE
Practice address
715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone
(402) 460-5672
Fax
(402) 460-5521
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 76144 NE
Family Nurse Practitioner 363LF0000X 112932 NE Primary

Addresses

Primary practice location

715 N Saint Joseph Ave
Hastings, NE 68901-4451

Mailing address

715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone (402) 460-5672

Other names 1

  • Jayne Elizabeth Macomber Former name

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
I20190920000863 NE Practitioner - Nurse Practitioner 6103156989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gordon Memorial HospitalGroup PAC ID 3072403575, 13 clinicians
The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, 129 clinicians

Practice addresses (Care Compare)

106 E 2ND St
Rushville, NE 69360-4597
Phone (308) 327-2757

715 N Kansas Ave
302 Mary Lanning Healthcare Wound Center
Hastings, NE 68901-4452
Phone (402) 460-5516

807 N Ash St
Gordon, NE 69343-1132
Phone (308) 282-1442

Hospital & facility affiliations

  • Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76144NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital CurrentSince Oct 14, 2019 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Dec 1, 2021 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Dec 1, 2021 Accepting new patients
Hastings Family Practice, P.C Past Accepting new patients

Locations

715 N Kansas Ave
Ste 302
Hastings, NE 68901
Phone (402) 460-5516

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

515 N 162nd Ave
Ste 301
Omaha, NE 68118
Phone (402) 354-7320

Interoperability endpoints

  • Direct secure messaging: jnelson361196@direct.nebraskamed.com

Organizations & group practices 12

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1982251096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-460-5672",
            "fax_number": "402-460-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-460-5672",
            "fax_number": "402-460-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAYNE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "76144",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYNE",
            "last_name": "MACOMBER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.