NICHOLAS DAVID JENSEN MD
NPI 1942997606
Emergency Medicine in Hackensack, NJ

Q: What is Nicholas Jensen's NPI number?

The NPI number for Nicholas Jensen is 1942997606. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Q: What is Nicholas Jensen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Jensen was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 21, 2023PECOS EnrolledAccepts Medicare Assignment

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2331 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicholas David Jensen Md NPPES

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

NICHOLAS DAVID JENSEN MD (NPI 1942997606) is an individual emergency medicine provider in Hackensack, New Jersey, licensed in Kentucky (62205) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and maintains a secondary practice location in Bowling Green.

NPPES Registry Identity

NPI1942997606

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNICHOLAS DAVID JENSENCredential: MD

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-2331

Phone(551) 996-2331

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 21, 2023

Last NPPES UpdateJuly 31, 2026

NPPES CertifiedJuly 31, 2026

✔ NPI 1942997606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in KY · 62205

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

30 PROSPECT AVE, Hackensack, NJ 07601

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Secondary Practice Location 1

Location 1250 Park StBowling Green, KY 42101-1760 · Phone (270) 745-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas David Jensen 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 ID4284192865

PECOS Enrollment IDI20260813003879

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.

Medicare Billing Reassignment

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

Southeastern Emergency Physicians LLC

541 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Kentucky enrollment
828 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180013

Location250 Park StreetBowling Green, KY 42101 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)