Active NPI
Jeri L Spatz, PA
- Medical Physician Assistant
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2222 S 16TH St Ste 405
Lincoln, NE 68502-3793 - Phone
- (402) 474-3704
- Fax
- (402) 474-3748
- NPI assigned
- May 8, 2018
- Last updated
- May 8, 2018
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NE | Primary |
Addresses
Primary practice location
2222 S 16TH St Ste 405
Lincoln, NE 68502-3793
Mailing address
2222 S 16TH St Ste 405
Lincoln, NE 68502-3793
Phone (402) 474-3704
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
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Park Dr
Hickman, NE 68372-1448
Phone (402) 204-4103
3900 Pine Lake Rd
Suite 5
Lincoln, NE 68516-5489
Phone (402) 730-6870
7121 Stephanie LN
Suite 100
Lincoln, NE 68516-5359
Phone (402) 466-0100
7350 Willowbrook LN
Lincoln, NE 68516-7781
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital District | Current | Accepting new patients | |
| Community Memorial Hospital District | Current | Accepting new patients | |
| Community Memorial Hospital District | Past | Accepting new patients |
Locations
1201 Park Dr
Hickman, NE 68372
Phone (402) 204-4103
7121 Stephanie Ln
Ste 100
Lincoln, NE 68516
Phone (402) 420-3500
7350 Willowbrook Ln
Ste 101
Lincoln, NE 68516
Phone (402) 269-2011
2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011
Organizations & group practices 7
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.
-
dba Syracuse Area Health
- Critical Access Hospital
- Syracuse, NE
- NPI 1013925924
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1194498808
-
dba SAH Professional Services
- Family Medicine Physician
- Syracuse, NE
- NPI 1336155134
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1699725358
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1811931637
-
- Family Medicine Physician
- Hickman, NE
- NPI 1134097900
-
dba Sagewell
- Family Medicine Physician
- Lincoln, NE
- NPI 1023823150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Syracuse Area Health
- Critical Access Hospital
- Syracuse, NE
- NPI 1013925924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1992294631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 16TH ST STE 405",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023793",
"telephone_number": "402-474-3704",
"fax_number": "402-474-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 16TH ST STE 405",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023793",
"telephone_number": "402-474-3704",
"fax_number": "402-474-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPATZ",
"first_name": "JERI",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.