| Jch Professional Services | |
|
202 High Street Tecumseh NE 68450 | |
| (402) 335-3361 | |
| (402) 335-6342 |
| Full Name | Jch Professional Services |
|---|---|
| Speciality | Family Medicine |
| Location | 202 High Street, Tecumseh, Nebraska |
| Authorized Official Name and Position | Mary Jane Kent (CEO) |
| Authorized Official Contact | 4023353361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jch Professional Services Po Box 538 Tecumseh NE 68450-0538 Ph: (402) 335-2811 | Jch Professional Services 202 High Street Tecumseh NE 68450 Ph: (402) 335-3361 |
| NPI Number | 1780895110 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Medicare PECOS PAC ID | 4688583644 |
|---|---|
| Medicare Enrollment ID | O20070613000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780895110 | NPI | - | NPPES |
| 10025541800 | Medicaid | NE | |
| 10025542100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363AM0700X | Physician Assistant - Medical | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Tracy L Holsing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578665287 PECOS PAC ID: 9739086901 Enrollment ID: I20031216000407 |
| Provider Name | Patrick C Farrell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679545289 PECOS PAC ID: 9739173337 Enrollment ID: I20040414000966 |
| Provider Name | Zachariah E Tempelmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487660601 PECOS PAC ID: 4981680063 Enrollment ID: I20040629000185 |
| Provider Name | Elizabeth a Gobber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063429660 PECOS PAC ID: 8022075118 Enrollment ID: I20041209001054 |
| Provider Name | Heath Elliot Penny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295804714 PECOS PAC ID: 7911950407 Enrollment ID: I20050224000406 |
| Provider Name | Stacey D Goodrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578570180 PECOS PAC ID: 9830131069 Enrollment ID: I20050526000831 |
| Provider Name | Fayetta J Unruh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356307060 PECOS PAC ID: 1456369248 Enrollment ID: I20060405000564 |
| Provider Name | Ryan J Baumert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205928181 PECOS PAC ID: 3577561380 Enrollment ID: I20061109000605 |
| Provider Name | Chad J Springer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922017862 PECOS PAC ID: 9032213202 Enrollment ID: I20070502000281 |
| Provider Name | Sara J Sharples |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760623359 PECOS PAC ID: 6002964418 Enrollment ID: I20090423000068 |
| Provider Name | Joseph P Frost |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184693251 PECOS PAC ID: 0941293450 Enrollment ID: I20100319000751 |
| Provider Name | Charisse M Mertz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043237480 PECOS PAC ID: 6507982899 Enrollment ID: I20100923001042 |
| Provider Name | Mitchell E Ebke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003173311 PECOS PAC ID: 4385807783 Enrollment ID: I20120522001359 |
| Provider Name | Benjamin D Biehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336377084 PECOS PAC ID: 7315194461 Enrollment ID: I20120824000787 |
| Provider Name | Travis J Tonniges |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528405248 PECOS PAC ID: 2567605942 Enrollment ID: I20130904000521 |
| Provider Name | Kathryn Griess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659792968 PECOS PAC ID: 6406086792 Enrollment ID: I20140306001169 |
| Provider Name | Bridget Henkel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023400686 PECOS PAC ID: 3173844925 Enrollment ID: I20150604001187 |
| Provider Name | Cindy Keckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699141069 PECOS PAC ID: 7719294131 Enrollment ID: I20150917002060 |
| Provider Name | Chad C Kelley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760850853 PECOS PAC ID: 0547578510 Enrollment ID: I20150925000073 |
| Provider Name | Andrew Stephen Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417306465 PECOS PAC ID: 8820389141 Enrollment ID: I20160616001730 |
| Provider Name | Brett D Kuhn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285083337 PECOS PAC ID: 1557652427 Enrollment ID: I20160623001319 |
| Provider Name | Jessica E Harper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255789640 PECOS PAC ID: 9234420035 Enrollment ID: I20160627000798 |
| Provider Name | Nicholas B Kinkead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093245235 PECOS PAC ID: 1557632270 Enrollment ID: I20170728002918 |
| Provider Name | Ali Piper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396009031 PECOS PAC ID: 9032407911 Enrollment ID: I20180731000387 |
| Provider Name | Sarah Elizabeth Christ |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356815963 PECOS PAC ID: 3375877186 Enrollment ID: I20190628000072 |
| Provider Name | Aaron James Pomajzl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932550084 PECOS PAC ID: 2961801436 Enrollment ID: I20210603001713 |
| Provider Name | Anna Chacon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073950689 PECOS PAC ID: 8527207919 Enrollment ID: I20210920002740 |
| Provider Name | Jakeb Daniel Riggle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710336342 PECOS PAC ID: 0345535423 Enrollment ID: I20220504001233 |
| Provider Name | Grant W Saltzgaber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881259646 PECOS PAC ID: 2769710508 Enrollment ID: I20220525001069 |
| Provider Name | Logan Nathaniel Meisinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558931261 PECOS PAC ID: 7416335534 Enrollment ID: I20220628001857 |
| Provider Name | Bernalda Kay Fritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386375640 PECOS PAC ID: 7517333883 Enrollment ID: I20221012002051 |
| Provider Name | Evelyn a Causgrove |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558057844 PECOS PAC ID: 7012371198 Enrollment ID: I20230907002168 |
| Provider Name | Larissa L Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912605221 PECOS PAC ID: 2567805104 Enrollment ID: I20240209003630 |
| Provider Name | Ellie Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467201426 PECOS PAC ID: 9638611551 Enrollment ID: I20240606004061 |
| Provider Name | Halle Weise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679322689 PECOS PAC ID: 3870031248 Enrollment ID: I20240815004376 |
| Provider Name | Sophia Knoell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508358979 PECOS PAC ID: 5092132282 Enrollment ID: I20240821004132 |
| Provider Name | Nicole L Weyers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487498747 PECOS PAC ID: 0446791057 Enrollment ID: I20241017000371 |
| Provider Name | Ariel D Teitel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871578450 PECOS PAC ID: 0042268351 Enrollment ID: I20241026000154 |
| Provider Name | Robert Dennis Beckman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427161702 PECOS PAC ID: 2769910736 Enrollment ID: I20250106000405 |
| Provider Name | Josiah Mcallister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437847761 PECOS PAC ID: 5395106231 Enrollment ID: I20250124001175 |
| Provider Name | Amanda Kiehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118644 PECOS PAC ID: 8527294883 Enrollment ID: I20250926003976 |
| Provider Name | Ronald Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285636605 PECOS PAC ID: 1456349190 Enrollment ID: I20260401003160 |
| Provider Name | Nicholas Paul Cordell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093683534 PECOS PAC ID: 2961979836 Enrollment ID: I20260428002903 |
Johnson County Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Broadway St., Box 60, Tecumseh, NE 68450 Phone: 402-335-3371 Fax: 402-335-3447 |
Tecumseh Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 High St, Ste 100, Tecumseh, NE 68450 Phone: 402-335-2811 Fax: 402-335-2826 |