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Jessica L. Kapple

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as JESSICA KAPPLE.

Based on the most recent information from CMS, provider Jessica L. Kapple is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1407032758
Provider Type
Individual
Full Name
Kapple, Jessica L.
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/17/2008
Last Updated
11/1/2013

Contact Information

Practice Location

Emile 42nd St, Omaha, NE 68198-3075

(402) 559-7200

(402) 559-9344

Mailing Location

988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

(402) 559-7200

(402) 559-9344

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1356 Nebraska

Provider Identifiers

ID	Description	Issuer
ID 1356	Description Other	Issuer NE STATE LICENSE Nebraska

Jessica L. Kapple

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Grothe, Thomas John

Lookian, Clare Esther

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Finigan, Amber

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Djidjoho, Marlene Ingrid

Shah, Simran Dharmesh

Kelley, Chad

Moran, Carly Jo

Rice, Shelby