JESSICA MARIE BENTZEN (NPI# 1992051882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992051882 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE BENTZEN |
| Credential | NP |
| Practice Address |
706 N 129th St Ste 103 Omaha NE 68154 |
| Mailing Address |
706 N 129th St Ste 103 Omaha NE 68154-6116 |
| Practice Telephone | 4025902590 |
| Practice Fax Number | 8448488757 |
| Mailing Telephone | 4025902590 |
| Mailing Fax Number | 8448488757 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2019-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
32779.1275 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
111393 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4610 S 133rd St Ste 109, Omaha, NE 681371133 | 4026140010 | 4026140090 |
| 706 N 129th St Ste 103, Omaha, NE 68154 | 4025903590 | 8448488757 |
| 8045 L St, Suite 4, Omaha, NE 681271745 | 4026140010 |
| Street Address |
706 N 129TH ST STE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724584 | Amberger LLC | Nurse Practitioner | 3610 N 163rd Plz Ste 207, Omaha, NE 68116-2164 | 2019-11-14 |
| 1871092353 | Janette Elaine Thomas Stallings | Nurse Practitioner | 706 N 129th St Ste 111, Omaha, NE 68154-6116 | 2018-02-09 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1871048959 | Refuge Mental Health Services, LLC | Nurse Practitioner | 8045 L St Ste 4, Omaha, NE 68127-1746 | 2016-08-18 |
| 1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
| 1245624402 | Angie Albert | Nurse Practitioner | 13214 Cottner St, Omaha, NE 68137-1777 | 2015-03-26 |
| 1427474824 | Megan B Sanders | Nurse Practitioner | Nebraska Medicine Department of Psychiatry, 985575 Nebraska Medical Center, Omaha, NE 68198-5575 | 2014-03-10 |
| 1932541588 | Kellie Berry-hert Aprn LLC | Nurse Practitioner | 2808 S 80th Ave Ste 110, Omaha, NE 68124-3253 | 2013-07-24 |
| 1922342195 | Encounter Telehealth, LLC | Nurse Practitioner | 900 S 74th Plz Ste 403, Omaha, NE 68114-4667 | 2012-11-12 |
| 1265794002 | Paula Ann Whittle | Nurse Practitioner | 4610 S 133rd St Ste 109, Omaha, NE 68137 | 2012-06-07 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.