Traci L Jenkins (NPI# 1881927655, PAC ID# 0244370625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1881927655 |
| PAC ID by PECOS | 0244370625 |
| Professional Enrollment ID | I20091215000584 |
| Full Name | Traci L Jenkins |
| Organization Legal Name | 4G ENTERPRISES LLC |
| Address |
2821 S 108th St Suite 3 Omaha NE 68144-4803 |
| Phone Number | 4029338201 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789810508 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1307 Harlan Dr, Bellevue, NE 68005-3699 | 4022918701 | HARLAN MEDICAL LLC |
| 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 | 4029338201 | 4G ENTERPRISES LLC |
| 2821 S 108th St, Omaha, NE 68144-4803 | 4029338201 | 4G ENTERPRISES LLC |
| 325 N 72nd St, Urgent Care Network Crossroads, Omaha, NE 68114-3605 | 4027155272 | MAKE MEDICAL LLC |
| 325 N 72nd St, Omaha, NE 68114-3605 | 4027155272 | MAKE MEDICAL LLC |
| Organization Legal Name | 4G ENTERPRISES LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn S Shanahan | Physician Assistant | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Ashley Rose Urbanski | Nurse Practitioner | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Jessica A Nees | Physician Assistant | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Anja E Armitage | Physician Assistant | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Felisha Ellen Hautzinger | Nurse Practitioner | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Heather Leanne Kirkpatrick | Nurse Practitioner | 4g Enterprises LLC | 2821 S 108th St, Omaha, NE 68144-4803 |
| Katelyn E Larsen | Physician Assistant | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Street Address |
2821 S 108TH ST SUITE 3 |
| City | OMAHA |
| State | NE |
| Zip | 68144-4803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn S Shanahan | Physician Assistant | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Ashley Rose Urbanski | Nurse Practitioner | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Jessica A Nees | Physician Assistant | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Anja E Armitage | Physician Assistant | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Felisha Ellen Hautzinger | Nurse Practitioner | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Heather Leanne Kirkpatrick | Nurse Practitioner | 4g Enterprises LLC | 2821 S 108th St, Omaha, NE 68144-4803 |
| Katelyn E Larsen | Physician Assistant | 4g Enterprises LLC | 2821 S 108th St, Suite 3, Omaha, NE 68144-4803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Ruth Person | Nurse Practitioner | Advanced Dermatology of The Midlands PC | 12910 Pierce St, Suite 120, Omaha, NE 68144-1105 |
| Emily Sobczyk | Occupational Therapy | Premere Rehab LLC | 111 Sterling Ridge Dr, Omaha, NE 68144-1275 |
| Emily Ann Horrum | Speech Language Pathologist | Premere Rehab LLC | 111 Sterling Ridge Dr, Heritage At Sterling Ridge, Omaha, NE 68144-1275 |
| Michelle L Mikuls | Physical Therapy | Premere Rehab LLC | 111 Sterling Ridge Dr, Omaha, NE 68144-1275 |
| Michael C Luebbert | Psychologist, Clinical | 1243 S 119th St, Omaha, NE 68144-1603 | |
| Brian J Brockman | Chiropractic | 11917 Pierce Plz, Omaha, NE 68144-1648 | |
| Tammy Sue Richert | Optometry | Eye Care West, P.C. | 14760 W Ctr Rd, Omaha, NE 68144-2035 |
| Brett N Briggs | Optometry | Eye Care West, P.C. | 14760 W Ctr Rd, Omaha, NE 68144-2035 |
| Heidi J Lichtenberg | Optometry | Eye Care West, P.C. | 14760 W Ctr Rd, Omaha, NE 68144-2035 |
| Steven J Gradowski | Optometry | Eye Care West, P.C. | 14760 W Ctr Rd, Omaha, NE 68144-2035 |
| Find all physicians in zip 68144 | |||
| City | OMAHA |
| Zip Code | 68144 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OMAHA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Traci L Jenkins.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.