Provider Demographics
NPI:1154524353
Name:BEISEL, JILL CHRISTINE (PA-C)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:CHRISTINE
Last Name:BEISEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:CHRISTINE
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 BRADFORD ST
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-1708
Mailing Address - Country:US
Mailing Address - Phone:531-727-2893
Mailing Address - Fax:531-727-2896
Practice Address - Street 1:510 BRADFORD ST
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-1708
Practice Address - Country:US
Practice Address - Phone:531-727-2893
Practice Address - Fax:531-727-2896
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2049363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR51853P066Medicare PIN