JANE ELIZABETH TEETER PA-C
NPI 1841608833
Physician Assistant - Medical in Omaha, NE

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since July 23, 2014PECOS Enrolled

4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107(402) 734-4110(402) 991-5642 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Jane Elizabeth Teeter Pa-c NPPES

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

JANE ELIZABETH TEETER PA-C (NPI 1841608833) is an individual medical provider in Omaha, Nebraska, licensed in Colorado (0004015) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841608833

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJANE ELIZABETH TEETERCredential: PA-C

Location Address4920 SOUTH 30TH STREET, SUITE 103Omaha, NE 68107-1656

Mailing Address4920 South 30th Street, Suite 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 991-5642

Phone(402) 734-4110

Fax(402) 991-5642

Sole ProprietorNo

Enumeration DateJuly 23, 2014

Last NPPES UpdateNovember 10, 2016

✔ NPI 1841608833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · 0004015

4920 SOUTH 30TH STREET, Omaha, NE 68107

Open in Google Maps ↗

Other Identifiers 2

Medicare UPIN380932YLQPCO

Medicaid70403031CO

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 (PECOS)

Jane Elizabeth Teeter Pa-c 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.

Other Providers at the Same Location NPPES 13

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

GLORIA E. GONZALEZ-KRUGER PH.D., LIMHP, LMFT

Marriage & Family Therapist