| Diane Kae Jackson, APRN | |
|
727 E 1st St, Minden, NE 68959-1705 | |
| (308) 832-3400 | |
| Not Available |
| Full Name | Diane Kae Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 727 E 1st St, Minden, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487694089 | NPI | - | NPPES |
| 47600743612 | Medicaid | NE | |
| 47600743622 | Medicaid | NE | |
| 47600743621 | Medicaid | NE | |
| 47600743623 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 110613 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kearney County Health Services Hospital | Minden, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alegent Creighton Clinic | 1951210418 | 890 |
| Kearney Co Health Services | 8820900780 | 10 |
| Entity Name | Kearney Co Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205977873 PECOS PAC ID: 8820900780 Enrollment ID: O20040223001142 |
| Entity Name | Alegent Creighton Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314 |
| Entity Name | Kearney Co Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477585958 PECOS PAC ID: 8820900780 Enrollment ID: O20061104000252 |
| Entity Name | Hastings Convenient Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710203054 PECOS PAC ID: 8729119011 Enrollment ID: O20100630000675 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Kae Jackson, APRN 727 E 1st St, Minden, NE 68959-1705 Ph: (308) 832-3400 | Diane Kae Jackson, APRN 727 E 1st St, Minden, NE 68959-1705 Ph: (308) 832-3400 |
Shannon Dee Kuehn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 E 1st St, Minden, NE 68959 Phone: 308-832-3400 | |
Kaitlyn M Carlson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 E 1st St, Minden, NE 68959 Phone: 308-832-3400 Fax: 308-832-3414 | |
Tiffany Weeder, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 727 E 1st St, Minden, NE 68959 Phone: 308-832-3400 | |
Ms. Renee A Grams, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 727 E 1st St, Minden, NE 68959 Phone: 308-832-3400 | |
Douglas P. Wulf, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 E 1st St, Minden, NE 68959 Phone: 308-832-3400 | |
Samantha Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 E 1st St, Minden, NE 68959 Phone: 302-832-3400 |