Individual provider Active NPI

Janelle A Larsen, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1982799250
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110262 Issued in NE
Practice address
7440 S 91St St
Lincoln, NE 68526-9797
Phone
(402) 489-6555
Fax
(402) 328-3770
NPI assigned
Oct 4, 2006
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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 110262 NE Primary

Addresses

Primary practice location

7440 S 91St St
Lincoln, NE 68526-9797

Mailing address

7440 S 91St St
Lincoln, NE 68526-9797
Phone (402) 489-6555

Other identifiers 8

IdentifierTypeStateIssuer
47070592301MedicaidNE
10026072500MedicaidNE
4707592313MedicaidNE
10026072600MedicaidNE
47070592300MedicaidNE
47070592302MedicaidNE
47070592305MedicaidNE
47070592306MedicaidNE

Other names 1

  • Janelle Moss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Express Clinic LLC CurrentSince Feb 1, 2023 Accepting new patients
The Express Clinic, LLC Family Current Accepting new patients
North Platte Heart Institute PC Past Accepting new patients
The Express Clinic, LLC PastSince Feb 1, 2023 Accepting new patients

Locations

201 Capitol Beach Blvd
Ste 1A
Lincoln, NE 68528
Phone (402) 435-0228

3740 N 27th St
Ste 1
Lincoln, NE 68521
Phone (402) 423-0396

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1982799250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 S 91ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269797",
            "telephone_number": "402-489-6555",
            "fax_number": "402-328-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 S 91ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269797",
            "telephone_number": "402-489-6555",
            "fax_number": "402-328-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JANELLE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592301",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4707592313",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026072600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592302",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592305",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070592306",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "MOSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.