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JACOB VASA MD
NPI 1669055281
Family Medicine in Omaha, NE

Active since May 02, 2021PECOS EnrolledAccepts Medicare Assignment
4920 S 30TH ST, OMAHA, NE 68107(402) 734-4110(402) 734-3990 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2024, May 2, 2021 (2 updates tracked since 2021).

About Jacob Vasa Md NPPES

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

JACOB VASA MD (NPI 1669055281) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (36306) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669055281
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB VASACredential: MD
Location Address4920 S 30TH STOmaha, NE 68107-1590
Mailing Address4920 S 30th St Ste 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 734-3990
Phone(402) 734-4110
Fax(402) 734-3990
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 2, 2021
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1669055281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 36306
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4920 S 30TH ST, Omaha, NE 68107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Jacob Vasa Md 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 ID8921497546
PECOS Enrollment IDI20241001001851
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 68107 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.

ADRIANA NIEMANN PLMHP
Counselor (Mental Health)
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
ALYSSA MARIE TELLO PHARMD
Pharmacist
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Douglas County (402) 502-5832
KRISTEN A HUBER M.D.
Family Medicine
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
FATIMA ANGUIANO CORTES DH
Dental Hygienist
4920 S 30TH ST
OMAHA, NE 68107
Douglas County (402) 734-4110
MINDEE SWANSON APRN
Nurse Practitioner (Family)
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Douglas County (402) 734-4110
ALYEACE CONWAY
Technician (Personal Care Attendant)
4920 S 30TH ST
OMAHA, NE 68107
Douglas County (402) 415-6952
ASHLEY MARREEL APRN
Nurse Practitioner (Family)
4920 S 30TH ST
OMAHA, NE 68107
Douglas County (402) 734-4110
DR. JEREMY MICHAEL HOWE M.D.
Family Medicine
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Douglas County (402) 734-4110

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 Jacob Vasa's NPI number?

The NPI number for Jacob Vasa is 1669055281. It was assigned to this individual provider in the NPPES registry on May 2, 2021.

Where is Jacob Vasa located?

Jacob Vasa practices at 4920 S 30th St, Omaha, NE 68107. The listed phone number is (402) 734-4110.

What is Jacob Vasa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Vasa enrolled in Medicare?

Yes. Jacob Vasa 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.

What insurance does Jacob Vasa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Jacob Vasa 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 Jacob Vasa was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.