Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Lavon Prescott

Individual provider Physician Assistant · NPI 1790404168

Jessica Lavon Prescott is a Physician Assistant in Omaha, Nebraska. Qualified in 2022, 4 years ago. Practices with Vascular and Interventional Radiology of Siouxland, a 24-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
4
Licensed in
IA, NE
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

17404 Burke St Ste 102
Omaha, NE 68118-2242
Phone: (531) 466-4260
Fax: (531) 466-4304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2907 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 116920 (IA)

Record details

NPI number1790404168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2022
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vascular And Interventional Radiology Of Siouxland — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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