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Carissa J. Jessen

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

987400 Nebraska Medical Ctr, Omaha, NE 68198-7400

PECOS Enrollment

This provider is enrolled in PECOS as CARISSA JESSEN.

Based on the most recent information from CMS, provider Carissa J. Jessen 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
1629063920
Provider Type
Individual
Full Name
Jessen, Carissa J.
Credential
P.A.

Gender
Female
Sole Proprietor
No
Enumeration Date
9/13/2005
Last Updated
12/6/2022

Contact Information

Practice Location

987400 Nebraska Medical Ctr, Omaha, NE 68198-7400

(402) 559-6673

(402) 559-8333

Mailing Location

988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

(402) 559-6195

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1109 Nebraska
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1109 Nebraska

Carissa J. Jessen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mccarty, Ciara Lynn

Hanson, Jeff

Dunkle, Elisabeth Catherine

Krajewski, Alexa

Storey, Anne Marie

Janiak, Kathryn E

Schneider, Carla J.

Grovijohn, Reba Ann

Sobotka, Jenna L

Kuechenmeister, Lisa Joy