JENNA L SOBOTKA (PA-C) – Physician Assistant, NPI 1255975108

JENNA L SOBOTKA (PA-C) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2417 (NE). The NPI Number for JENNA L SOBOTKA (PA-C) is 1255975108

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNA L SOBOTKA (PA-C)
NPI
1255975108
Phone
Not provided
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
4 November 2019
Last Update Date
4 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4022744993
Graduation Year
2019 (7 years ago)
PAC ID
5193159945
Group Practice PAC ID
4385749191
Professional Enrollment ID
I20200102001755
Address ID
NE683051760AU2115XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,406 PHYSICIAN ASSISTANT in NE

Provider Addresses for JENNA L SOBOTKA (PA-C)

  • 988102 NEBRASKA MEDICAL CTR

    OMAHA, NE 681988102

    Phone:

    Type: Mailing

  • EMILE @ 42ND ST

    OMAHA, NE 681980001

    Phone: (402) 559-0692

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-05-26 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($37).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200102001755IPhysician AssistantNETBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99283Emergency department visit with low level of medical decision making7165$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5444$0
99284Emergency department visit with moderate level of medical decision making4845$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 68198)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385749191View full group profile
NameSpecialtyState
Physician AssistantNE
Family PracticeCO
Physician AssistantNE
Internal MedicineNE
-NE
Physician AssistantNE
Family PracticeNE
Family PracticeNE
Family PracticeNE
Physician AssistantNE

Reviews

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Frequently asked questions

How is JENNA L SOBOTKA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JENNA L SOBOTKA (PA-C) with NPI 1255975108.
Can I rely on JENNA L SOBOTKA (PA-C) being an active provider?
As of the registry snapshot, JENNA L SOBOTKA (PA-C) is marked active.
What is JENNA L SOBOTKA (PA-C)'s primary classification?
Physician Assistant is the headline specialty for JENNA L SOBOTKA (PA-C) here. Clinical services aligned with this taxonomy classification.
Does JENNA L SOBOTKA (PA-C) list a practice location?
Patients near Omaha, Nebraska may find JENNA L SOBOTKA (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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