JENNIFER R MICHAELIS PA
NPI 1164860268
Physician Assistant in Omaha, NE

Q: What is Jennifer Michaelis's NPI number?

The NPI number for Jennifer Michaelis is 1164860268. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Jennifer Michaelis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since June 11, 2013PECOS Enrolled

16120 W DODGE RD, OMAHA, NE 68118(402) 354-0707(402) 354-0711 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer R Michaelis Pa NPPES

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

JENNIFER R MICHAELIS PA (NPI 1164860268) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (1825) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164860268

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNIFER R MICHAELISCredential: PA

Location Address16120 W DODGE RDOmaha, NE 68118-2049

Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155

Phone(402) 354-0707

Fax(402) 354-0711

Sole ProprietorNo

Enumeration DateJune 11, 2013

Last NPPES UpdateFebruary 17, 2015

✔ NPI 1164860268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NE · 1825✔ Licensed in IA · 074838

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

16120 W DODGE RD, Omaha, NE 68118

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Other Identifiers 3

Medicaid47068731742NE

Medicare PIN099099241NE

Medicaid47068731751NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 (PECOS)

Jennifer R Michaelis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68118 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

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

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

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Other Providers at the Same Location NPPES 20

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

JENNIFER N DIAMOND DO

Family Medicine