ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM (NPI# 1982773776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982773776 |
| Entity Type | Organization |
| Organization Name | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM |
| Other Organization Name | CHI HEALTH |
| Practice Address |
12809 W Dodge Rd Omaha NE 68154-2155 |
| Practice Telephone | 4023986255 |
| Practice Fax Number | 4028298513 |
| Mailing Telephone | 4023986255 |
| Mailing Fax Number | 4028298513 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | KEITH JANKUSKI (COO) |
| Authorized Official Telephone | 4023434409 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHI NEBRASKA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CHI Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336382530 | Alegent Health Bergan Mercy Health System | Home Health | 703 Rosary Dr, Corning, IA 50841-1685 | 2009-04-17 |
| 1346438041 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 7710 Mercy Rd Ste 105, Omaha, NE 68124-2372 | 2007-10-09 |
| 1396969499 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 415 S 25th Ave, Omaha, NE 68131-3654 | 2007-04-12 |
| 1871665372 | Alegent Health Bergan Mercy Health System | Psychiatric Residential Treatment Facility | 359 Indian Hills Dr, Glenwood, IA 51534-1953 | 2006-11-14 |
| 1629147418 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 5428 F St, Omaha, NE 68117-2815 | 2006-11-07 |
| 1932278728 | Alegent Health Bergan Mercy Health System | Hospice Care, Community Based | 7415 Cedar St, Omaha, NE 68124-2367 | 2006-11-07 |
| 1770664245 | Alegent Health Bergan Mercy Health System | Home Health | 810 N 96th St Ste 201, Omaha, NE 68114-2767 | 2006-10-18 |
| 1841611654 | Alegent Health Bergan Mercy Health System | Counselor | 7710 Mercy Rd, Suite 303, Omaha, NE 68124-2372 | 2013-12-20 |
| 1770854663 | Alegent Health Bergan Mercy Health System | Internal Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-01-24 |
| 1942433701 | Alegent Health Bergan Mercy Health System | Clinic/Center | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2009-08-27 |
| Street Address |
12809 W DODGE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699035931 | Alegent Creighton Clinic | Family Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-05-21 |
| 1912267238 | Alegent Creighton Clinic | Clinical Medical Laboratory | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-05-21 |
| 1770854663 | Alegent Health Bergan Mercy Health System | Internal Medicine | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2012-01-24 |
| 1457590846 | Rebecca Lyn Wardlaw | Specialist/Technologist | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466972 | Dana Mae Griffin | Nurse Practitioner | 3015 N 90th St Ste 1, Omaha, NE 68134-4713 | 2020-08-08 |
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1275152084 | Natalie Roberts | Nurse Practitioner | 8701 F St, Omaha, NE 68127-1504 | 2020-04-11 |
| 1982233532 | Jill Renae Sheffield | Nurse Practitioner | 2910 N 63rd St, Omaha, NE 68104-3352 | 2020-04-06 |
| 1669000733 | Jessica D Flowers | Nurse Practitioner | 6901 N 72nd St Ste 7500, Omaha, NE 68122-1709 | 2020-04-01 |
| 1639716665 | Tiffany Tesoro | Nurse Practitioner | 16957 Locust St, Omaha, NE 68116-2658 | 2019-12-10 |
| 1366907529 | Jacqueline Mcduffie | Nurse Practitioner | 6774 Wirt St, Omaha, NE 68104-3143 | 2019-02-01 |
| 1366936023 | Debra Jo Warren | Nurse Practitioner | 4104 Leavenworth St, Omaha, NE 68105-1053 | 2018-06-18 |
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.