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Contact Information

JENNIFER CHAVEZ, PA-C
515 N 162ND AVE STE 300
OMAHA, NE68118-2540
 Phone: 402-354-1200
 Fax: 402-354-1205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER CHAVEZ · (Female)

NPI Number 1457354789
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/31/2005
Last updated 04/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NE License # 1136
  • NE Medicaid 47073679913
  • NE Medicaid 47081304012
  • NE Other 37833 BCBS
  • NE Other P00153597 RAILROAD MEDICARE
  • NE Other 68154A016 TRICARE
Hospital affiliation(s)
  • ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER - (Acute Care)
    7500 MERCY RD
    OMAHA, NE 68124
  • ALEGENT HEALTH MERCY HOSPITAL - (Acute Care)
    800 MERCY DRIVE
    COUNCIL BLUFFS, IA 51503
  • ALEGENT HEALTH MIDLANDS HOSPITAL - (Acute Care)
    11111 SOUTH 84TH ST
    PAPILLION, NE 68046
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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