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MRS. PENNI F JACKSON PAC
NPI 1023103397
Physician Assistant - Medical in Lincoln, NE

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
6940 VAN DORN ST STE 201, LINCOLN, NE 68506(402) 413-6363(402) 512-9133 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Sep 21, 2018 (2 updates tracked since 2018).

About Mrs. Penni F Jackson Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PENNI F JACKSON PAC (NPI 1023103397) is an individual medical provider in Lincoln, Nebraska, licensed in Nebraska (1137) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1023103397
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. PENNI F JACKSONCredential: PAC
Location Address6940 VAN DORN ST STE 201Lincoln, NE 68506-2858
Mailing Address4445 S 86th St # 100Lincoln, NE 68526-9225 · (402) 414-4200 · Fax (402) 414-4202
Phone(402) 413-6363
Fax(402) 512-9133
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 4, 2006
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1023103397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NE · 1137
6940 VAN DORN ST STE 201, Lincoln, NE 68506
Open in Google Maps ↗

Other Names 1

Former Name (1)Penni F Horwart

Secondary Practice Location 1

Location 14445 S 86th St # 100Lincoln, NE 68526-9225 · Phone (402) 414-4200 · Fax (402) 414-4202

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Penni F Jackson Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496742215
PECOS Enrollment IDI20040426001080
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Saunders Medical Center

Critical Access Hospitals · Wahoo, NE
OwnershipGovernment - Local
CMS Certification Number281307
Location1760 County Rd JWahoo, NE 68066 · Saunders County

Syracuse Area Health

Critical Access Hospitals · Syracuse, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281309
Location2731 Healthcare DrSyracuse, NE 68446 · Otoe County

Community Medical Center, Inc.

Critical Access Hospitals · Falls City, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281352
LocationP O Box 399, 3307 Bill Schock BoulevardFalls City, NE 68355 · Richardson County
Emergency services

Beatrice Community Hospital & Health Center, Inc

Critical Access Hospitals · Beatrice, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281364
LocationP O Box 278, 4800 Hospital ParkwayBeatrice, NE 68310 · Gage County
Emergency services

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEY LYNN LEFEVER APRN
Nurse Practitioner
6940 VAN DORN ST STE 201
LINCOLN, NE 68506
Lancaster County (402) 413-6363
CARDIOVASCULAR CLINIC OF NEBRASKA
Internal Medicine (Cardiovascular Disease)
6940 VAN DORN ST STE 201
LINCOLN, NE 68506
Lancaster County (402) 414-4200
DANIEL LEVI SCHIPPER PA-C
Physician Assistant
6940 VAN DORN ST STE 201
LINCOLN, NE 68506
Lancaster County (402) 413-6363
MISS ANN M WYNEGAR PA
Physician Assistant
6940 VAN DORN ST STE 201
LINCOLN, NE 68506
Lancaster County (402) 323-8484
MRS. JAMIE LEEANN RHOADES FNP
Nurse Practitioner (Primary Care)
6940 VAN DORN ST STE 201
LINCOLN, NE 68506
Lancaster County (402) 413-6363
VISHWAJETH B BHOOPALAM MD
Internal Medicine (Interventional Cardiology)
6940 VAN DORN ST STE 201
LINCOLN, NE 68506
Lancaster County (402) 414-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penni Jackson's NPI number?

The NPI number for Penni Jackson is 1023103397. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Penni F Horwart.

Where is Penni Jackson located?

Penni Jackson practices at 6940 Van Dorn St Ste 201, Lincoln, NE 68506. The listed phone number is (402) 413-6363.

What is Penni Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Penni Jackson enrolled in Medicare?

Yes. Penni Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Penni Jackson accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Penni Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Penni Jackson affiliated with any hospitals?

According to CMS data, Penni Jackson is affiliated with Bryan Medical Center, Saunders Medical Center, Syracuse Area Health, Community Medical Center, Inc. and Beatrice Community Hospital & Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Penni Jackson was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.