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JORDAN BONTRAGER RD LMNT
NPI 1477184018
Nutritionist in Omaha, NE

Active since February 03, 2020
6829 N 72ND ST STE 4500, OMAHA, NE 68122(402) 717-1299(402) 717-0770 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2021, Feb 3, 2020 (2 updates tracked since 2020).

About Jordan Bontrager Rd Lmnt NPPES

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

JORDAN BONTRAGER RD LMNT (NPI 1477184018) is an individual nutritionist in Omaha, Nebraska, licensed in Nebraska (1470) and active in the NPI registry since February 2020. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1477184018
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameJORDAN BONTRAGERCredential: RD LMNT
Location Address6829 N 72ND ST STE 4500Omaha, NE 68122-1724
Mailing Address8207 Northwoods Dr Ste 100Lincoln, NE 68505-2093
Phone(402) 717-1299
Fax(402) 717-0770
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 3, 2020
Last NPPES UpdateSeptember 28, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1477184018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
Licenses✔ Licensed in NE · 1470✔ Licensed in IA · 110956
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Also ListedDietitian, RegisteredTaxonomy 133V00000X
6829 N 72ND ST STE 4500, Omaha, NE 68122
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Other Names 1

Former Name (1)Jordan Johnson Rd Lmnt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Bontrager Rd Lmnt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365870649
PECOS Enrollment IDI20200319002779, I20220104002611

Medicare Billing Reassignment

Medicare enrollment records show Jordan Bontrager reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chi Health Clinic Specialty, LLC
47 mi
Hospitalist
555 S 70TH ST
Lincoln, NE 68510
  • Reassigned Medicare billing, Nebraska enrollment
  • 525 clinicians in this Medicare group
NPI 1285138065 (402) 219-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
106 services29 patients
Therapy procedure reassessment for nutrition management, each 15 minutes 97803
This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.
55 services13 patients

Other Providers at the Same Location NPPES 9

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

DIANE JOHNSON APRN/CNM
Advanced Practice Midwife
6829 N 72ND ST STE 4500
OMAHA, NE 68122
Douglas County (402) 572-3790
HEATHER D RAMSEY CNM
Advanced Practice Midwife
6829 N 72ND ST STE 4500
OMAHA, NE 68122
Douglas County (402) 572-3790
LAUREN B BOTSFORD APRN-WHNP
Nurse Practitioner (Women's Health)
6829 N 72ND ST STE 4500
OMAHA, NE 68122
Douglas County (402) 572-3790
RACHAEL R RICE CNM
Advanced Practice Midwife
6829 N 72ND ST STE 4500
OMAHA, NE 68122
Douglas County (402) 572-3790
CANDACE PATRICE GILES D.O.
Obstetrics & Gynecology
6829 N 72ND ST STE 4500
OMAHA, NE 68122
Douglas County (402) 572-3790
ABBI CROOK APRN-CNM
Advanced Practice Midwife
6829 N 72ND ST STE 4500
OMAHA, NE 68122
Douglas County (402) 572-3790
BRINDI PINKELMAN APRN
Nurse Practitioner (Women's Health)
6829 N 72ND ST STE 4500
OMAHA, NE 68122
Douglas County (402) 572-3790
ERIKA M DE MONT APRN
Midwife
6829 N 72ND ST STE 4500
OMAHA, NE 68122
Douglas County (402) 572-3790

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 Jordan Bontrager's NPI number?

The NPI number for Jordan Bontrager is 1477184018. It was assigned to this individual provider in the NPPES registry on February 3, 2020. The provider is also known as Jordan Johnson Rd Lmnt.

Where is Jordan Bontrager located?

Jordan Bontrager practices at 6829 N 72nd St Ste 4500, Omaha, NE 68122. The listed phone number is (402) 717-1299.

What is Jordan Bontrager's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Jordan Bontrager enrolled in Medicare?

Yes. Jordan Bontrager is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Bontrager's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Bontrager reassigns Medicare benefits to Chi Health Clinic Specialty, LLC (Lincoln, NE). The 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 Jordan Bontrager's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Bontrager was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.