Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jason Theodore

Individual provider Physician Assistant · NPI 1629535521

Jason Theodore is a Physician Assistant in Lincoln, Nebraska. Qualified in 2019, 7 years ago. Practices with Freedom House Recovery Center Inc, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

4615 Meredeth St Apt 6
Lincoln, NE 68506-4973
Phone: (347) 449-1387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1629535521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2019
Last updated in NPPESSeptember 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Freedom House Recovery Center Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients60
Services billed 214 a service is one billed item, such as a visit, a test or a procedure
Average patient age64

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Memorial Mission Hospital And Asheville Surgery Ce Hospital · Asheville, NC

Colleagues at Freedom House Recovery Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 13 clinicians in the practice; 11 are shown here.

Other providers in Lincoln