JACKIE E ERB
NPI 1396096400
Nurse Anesthetist, Certified Registered in Gothenburg, NE

Q: What is Jackie Erb's NPI number?

The NPI number for Jackie Erb is 1396096400. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Q: What is Jackie Erb's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Erb was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 28, 2012Accepts Medicare Assignment

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

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie E Erb NPPES

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

JACKIE E ERB (NPI 1396096400) is an individual nurse anesthetist, certified registered in Gothenburg, Nebraska, licensed in Nebraska (101285) and active in the NPI registry since September 2012. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1396096400

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJACKIE E ERB

Location Address910 20TH STGothenburg, NE 69138-1237

Mailing Address1020 21st StGothenburg, NE 69138-2501 · (402) 318-1735

Phone(308) 537-3661

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 28, 2012

Last NPPES UpdateJanuary 29, 2015

✔ NPI 1396096400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in NE · 101285

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 69233 (NE)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 201242161RN (OR)

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 Medica, Oscar Insurance Company.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

Jackie E Erb 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 ID2466777180

PECOS Enrollment IDI20150220000653

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

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

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 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