JENNA M. MATLOCK PA-C
NPI 1215540026
Physician Assistant in Omaha, NE

Q: What is Jenna Matlock's NPI number?

The NPI number for Jenna Matlock is 1215540026. It was assigned to this individual provider in the NPPES registry on August 31, 2020. The provider is also known as Jenna M. Provance.

Q: What is Jenna Matlock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jenna Matlock was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 31, 2020PECOS Enrolled

7100 W CENTER RD, OMAHA, NE 68106(402) 506-9000(402) 506-9093 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2020, Nov 4, 2020, Aug 31, 2020 (3 updates tracked since 2020).

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About Jenna M. Matlock Pa-c NPPES

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

JENNA M. MATLOCK PA-C (NPI 1215540026) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (2545) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215540026

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNA M. MATLOCKCredential: PA-C

Location Address7100 W CENTER RDOmaha, NE 68106-2714

Mailing Address7100 W Center RdOmaha, NE 68106-2714 · (402) 506-9000 · Fax (402) 506-9093

Phone(402) 506-9000

Fax(402) 506-9093

Sole ProprietorNo

Enumeration DateAugust 31, 2020

Last NPPES UpdateNovember 24, 20203 updates tracked since enumeration

NPPES CertifiedNovember 24, 2020

✔ NPI 1215540026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NE · 2545

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

7100 W CENTER RD, Omaha, NE 68106

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Other Names 1

Former Name (1)Jenna M. Provance

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 (PECOS)

Jenna M. Matlock Pa-c 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68106 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.

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.

TABITHA ANNE NIELSEN PLMHP, PCMSW

Social Worker (Clinical)