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MS. JACKIE A THIELEN APRN
NPI 1619088150
Nurse Practitioner in Omaha, NE

Active since August 31, 2006PECOS Enrolled
8303 DODGE ST, OMAHA, NE 68114(402) 354-4000(402) 354-8735 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jackie A Thielen Aprn NPPES

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

MS. JACKIE A THIELEN APRN (NPI 1619088150) is an individual nurse practitioner in Omaha, Nebraska, licensed in Nebraska (110133) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619088150
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. JACKIE A THIELENCredential: APRN
Location Address8303 DODGE STOmaha, NE 68114-4108
Mailing AddressPo Box 2797Omaha, NE 68103-2797 · (402) 354-4230 · Fax (402) 354-6171
Phone(402) 354-4000
Fax(402) 354-8735
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 16, 2013
✔ NPI 1619088150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NE · 110133
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8303 DODGE ST, Omaha, NE 68114
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Other Identifiers 5

Medicare UPINS57327
Medicaid47037660412NE
Medicaid47037660432NE
Medicaid1619088150IA
Medicare PIN096573051NE

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jackie A Thielen Aprn 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 68114 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
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
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.

LEAH R. LIENEMANN R.N.
Nurse Practitioner
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-4000
RUSSELL L COWLES III M.D.
Hospitalist
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-2360
DR. ALAN T. RICHARDS M.D.
Surgery
8303 DODGE ST, SUITE # 304
OMAHA, NE 68114
Douglas County (402) 354-5048
MR. JOHN (KEVIN) KEELEY LMHP
Counselor (Professional)
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-8350
SHANE K. KOHL MD
Pathology (Anatomic Pathology & Clinical Pathology)
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-4540
KATERINA N. GOLDMAN PA-C
Physician Assistant (Medical)
8303 DODGE ST, SUITE # 304
OMAHA, NE 68114
Douglas County (402) 354-5048
DR. JILL SUSANNE NEITZEL PHARM.D.
Pharmacist
8303 DODGE ST, PHARMACY DEPARTMENT
OMAHA, NE 68114
Douglas County (402) 354-3176
JOSEPH MICHAEL EVANS M.D.
Hospitalist
8303 DODGE ST
OMAHA, NE 68114
Douglas County (402) 354-2360

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 Thielen's NPI number?

The NPI number for Jackie Thielen is 1619088150. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jackie Thielen located?

Jackie Thielen practices at 8303 Dodge St, Omaha, NE 68114. The listed phone number is (402) 354-4000.

What is Jackie Thielen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jackie Thielen enrolled in Medicare?

Yes. Jackie Thielen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Thielen was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.