Active NPI
Jessica P McNew, APRN
- Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 113155
- Practice address
- 4920 S 30TH St Ste 103
Omaha, NE 68107-1656 - Phone
- (402) 734-4110
- Fax
- (402) 734-3990
- NPI assigned
- Jun 10, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 113155 | NE | Primary |
Addresses
Primary practice location
4920 S 30TH St Ste 103
Omaha, NE 68107-1656
Mailing address
4920 S 30TH St Ste 103
Omaha, NE 68107-1656
Phone (402) 734-4110
Other names 1
- Jessica Pauline Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 W Broadway
RM a
Council Bluffs, IA 51501-3522
Phone (712) 325-1990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113155 | NE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Care Health Center | Current | Accepting new patients | |
| All Care Health Center | Past | Accepting new patients |
Locations
2501 W Broadway
Rm A
Council Bluffs, IA 51501
2501 W Broadway
Council Bluffs, IA 51501
Phone (712) 325-1990
902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583
1435 N 15th St
Council Bluffs, IA 51501
Phone (712) 322-7570
1415 Avenue J
Ste 2
Council Bluffs, IA 51501
Phone (712) 325-1990
Interoperability endpoints
- https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Council Bluffs, IA
- NPI 1114906906
-
- Community/Retail Pharmacy
- Council Bluffs, IA
- NPI 1124461363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1992320584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 S 30TH ST STE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071656",
"telephone_number": "402-734-4110",
"fax_number": "402-734-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 S 30TH ST STE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071656",
"telephone_number": "402-734-4110",
"fax_number": "402-734-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEW",
"first_name": "JESSICA",
"middle_name": "P",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "113155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "JOHNSON",
"middle_name": "PAULINE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 24, 2025; 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.