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JACKSON MARTIN
NPI 1891549010
Student in an Organized Health Care Education/Training Program in Offutt Afb, NE

Active since April 15, 2024PECOS Enrolled
2501 CAPEHART RD, OFFUTT AFB, NE 68113(024) 294-2056 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Martin NPPES

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

JACKSON MARTIN (NPI 1891549010) is an individual student in an organized health care education/training program in Offutt Afb, Nebraska and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891549010
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON MARTIN
Location Address2501 CAPEHART RDOffutt Afb, NE 68113-1043
Mailing Address3601 4th StLubbock, TX 79430-0002
Phone(024) 294-2056
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1891549010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2501 CAPEHART RD, Offutt Afb, NE 68113
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Martin 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 20

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

DR. CARTER STRAIN DDS
Dentist
2501 CAPEHART RD
OFFUTT AFB, NE 68113
Sarpy County (402) 294-3212
DR. BRENDAN MATTHEW LANE DDS
Dentist
2501 CAPEHART RD
OFFUTT AFB, NE 68113
Sarpy County (402) 294-1165
DR. JAMES JAY TSCHUDY III M.D.
Pediatrics
2501 CAPEHART RD
OFFUTT AFB, NE 68113
Sarpy County (210) 652-3975
JESSICA I LOWE LIMHP, LISW
Social Worker (Clinical)
2501 CAPEHART RD
OFFUTT AFB, NE 68113
Sarpy County (402) 510-4409
MR. BRIAN P SCHNIEDER CMSW, LIMHP, LADC
Social Worker (Clinical)
2501 CAPEHART RD
OFFUTT AFB, NE 68113
Sarpy County (402) 850-0054
MR. JEFFREY D MOTZ P.A.
Physician Assistant
2501 CAPEHART RD
OFFUTT AFB, NE 68113
Sarpy County (402) 827-4905
STEPHANIE N RADIL MD
Family Medicine
2501 CAPEHART RD
OFFUTT AFB, NE 68113
Sarpy County (402) 294-2056
MRS. JESSICA S EBY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2501 CAPEHART RD, FLIGHT MEDICINE
OFFUTT A F B, NE 68113
Sarpy County (402) 294-6928

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 Jackson Martin's NPI number?

The NPI number for Jackson Martin is 1891549010. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Jackson Martin located?

Jackson Martin practices at 2501 Capehart Rd, Offutt Afb, NE 68113. The listed phone number is (024) 294-2056.

What is Jackson Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jackson Martin enrolled in Medicare?

Yes. Jackson Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Martin was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.