NPIMap

Organization Active NPI

Alegent Health Bergan Mercy Health System

Doing business as CHI Health

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1982773776
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
Doing business as
CHI Health
Practice address
12809 W Dodge Rd
Omaha, NE 68154-2155
Phone
(402) 398-6255
Fax
(402) 829-8513
NPI assigned
Nov 7, 2006
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CHI NEBRASKAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Keith Jankuski
Title
Coo
Phone
(402) 343-4409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

12809 W Dodge Rd
Omaha, NE 68154-2155

Mailing address

12809 W Dodge Rd
Omaha, NE 68154-2155
Phone (402) 398-6255

Other names 1

  • CHI Health Doing business as

National Provider Directory

National Provider Directory

Locations

2771 Solutions Ctr
Chicago, IL 60677

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1982773776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542155",
            "telephone_number": "402-398-6255",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542155",
            "telephone_number": "402-398-6255",
            "fax_number": "402-829-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHI NEBRASKA",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "JANKUSKI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "402-343-4409"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.