MRS. JORDAN AMBER HAAKE APRN
NPI 1104666734
Nurse Practitioner - Family in Gothenburg, NE

Q: What is Jordan Haake's NPI number?

The NPI number for Jordan Haake is 1104666734. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Q: What is Jordan Haake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Haake was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 30, 2024PECOS EnrolledAccepts Medicare Assignment

910 20TH ST, GOTHENBURG, NE 69138(308) 537-3661 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Jordan Amber Haake Aprn NPPES

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

MRS. JORDAN AMBER HAAKE APRN (NPI 1104666734) is an individual family provider in Gothenburg, Nebraska, licensed in Nebraska (115387) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Gothenburg Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104666734

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JORDAN AMBER HAAKECredential: APRN

Location Address910 20TH STGothenburg, NE 69138-1237

Mailing Address1016 22nd StGothenburg, NE 69138-2507 · (308) 529-0350

Phone(308) 537-3661

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 30, 2024

Last NPPES UpdateJune 27, 2024

NPPES CertifiedJune 27, 2024

✔ NPI 1104666734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NE · 115387

910 20TH ST, Gothenburg, NE 69138

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and more.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. Jordan Amber Haake Aprn 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 ID143769638

PECOS Enrollment IDI20240828002994

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

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

Gothenburg Health

Critical Access Hospitals · Gothenburg, NE

OwnershipGovernment - Hospital District or Authority

CMS Certification Number281313

LocationPO Box 469 910 20th StGothenburg, NE 69138 · Dawson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

DR. MICHAEL WILLIAM TRIERWEILER M.D.

Obstetrics & Gynecology