JACKIE E ERB
NPI 1396096400
Nurse Anesthetist, Certified Registered in Gothenburg, NE
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jackie Erb reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gothenburg, NE 69138
- Reassigned Medicare billing, Nebraska enrollment
- 21 clinicians in this Medicare group
North Platte, NE 69101
- Reassigned Medicare billing, Nebraska enrollment
- 365 clinicians in this Medicare group
North Platte, NE 69101
- Reassigned Medicare billing, Nebraska enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Jackie Erb located?
Jackie Erb practices at 910 20th St, Gothenburg, NE 69138. The listed phone number is (308) 537-3661.
What is Jackie Erb's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jackie Erb enrolled in Medicare?
Yes. Jackie Erb 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.
Which organizations bill Medicare for Jackie Erb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Erb reassigns Medicare benefits to 3 organizations: Gothenburg Memorial Hospital (Gothenburg, NE), North Platte Nebraska Hospital Corporation (North Platte, NE) and North Platte Surgery Center Anesthesia, LLC (North Platte, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Erb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jackie Erb accept?
Health plans from Oscar Insurance Company list Jackie Erb 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.
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.
# Jackie E Erb · NPI 1396096400
Nurse Anesthetist, Certified Registered physician in Gothenburg, Nebraska. Individual provider, active in the CMS NPPES registry since September 28, 2012.
## Identity
- **NPI:** 1396096400 (Entity type: Individual)
- **Enumerated:** September 28, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 101285 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 910 20TH ST, Gothenburg, NE 69138-1237
- **Phone:** (308) 537-3661
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Gothenburg Memorial Hospital (NPI 1922051531, Gothenburg, NE); North Platte Nebraska Hospital Corporation (NPI 1134355332, North Platte, NE); North Platte Surgery Center Anesthesia, LLC (NPI 1780869222, North Platte, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 29, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1396096400) · Data from the CMS NPPES public registry.