MRS. JOLENE MARIE LIES (PA-C) – Physician Assistant, NPI 1336322866
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for MRS. JOLENE MARIE LIES (PA-C)
1288 Valley View Dr
Council Bluffs, IA 515035245
Phone: (712) 328-8800
Fax: (712) 328-8461
Type: Location
2201 N Broadwell Ave
Grand Island, NE 688032153
Phone: (308) 382-3660
Type: Location
7261 MERCY RD
OMAHA, NE 681242311
Phone:
Type: Mailing
Grand Island VA Medical Center, 2201, North Broadwell Avenue, Grand Island, Hall County, Nebraska, 68803, United States
GRAND ISLAND, NE 688032153
Phone:
Type: Mailing
5005 S 153RD ST STE 100
OMAHA, NE 681375070
Phone: (402) 717-1255
Fax: (402) 818-1924
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040228000117 | I | Physician Assistant | NE | TBD |
| I20250617003898 | I | Physician Assistant | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 51503)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | NE | |
| Orthopedic Surgery | NE | |
| Physician Assistant | NE | |
| Cardiovascular Disease (Cardiology) | NE | |
| H O S P I T A L I S T | CA | |
| N E U R O L O G Y | MO | |
| U R O L O G Y | NE | |
| Hospitalist, Internal Medicine | IA | |
| Family Practice | NE | |
| Orthopedic Surgery | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.