ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM (NPI# 1770854663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770854663 |
| Entity Type | Organization |
| Organization Name | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM |
| Other Organization Name | ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER PROFESSIONAL SERVICES |
| Practice Address |
12809 W Dodge Rd Omaha NE 68154-2155 |
| Practice Telephone | 4023434328 |
| Practice Fax Number | 4023434389 |
| Mailing Telephone | 4023434328 |
| Mailing Fax Number | 4023434389 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | MAUREEN A CAVANAUGH (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4023434328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Alegent Health Bergan Mercy Medical Center Professional Services | 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 |
| 1982773776 | Alegent Health Bergan Mercy Health System | Dietitian, Registered | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 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 |
| 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 |
|---|---|---|---|---|
| 1982773776 | Alegent Health Bergan Mercy Health System | Dietitian, Registered | 12809 W Dodge Rd, Omaha, NE 68154-2155 | 2006-11-07 |
| 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 |
| 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 | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801016316 | Tilda M Wambsganss | Nurse Practitioner | Children's Hospital - Nicu, 8200 Dodge Street, Omaha, NE 68114-4113 | 2007-04-26 |
| 1619908274 | Susan E Knutson | Nurse Practitioner | 987740 Nebraska Medical Ctr, Omaha, NE 68198-7740 | 2006-07-05 |
| 1154706463 | Chelsey Leiting | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2015-07-28 |
| 1659754034 | Elizabeth Nicole Bronson | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2015-07-03 |
| 1760865323 | Emily Liu Burdett | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2015-07-01 |
| 1821497892 | Elicia Devall | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2014-08-15 |
| 1922354596 | Melissa Lynn Svoboda | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2012-07-31 |
| 1083969554 | Mackenzie Lynn Denich | Nurse Practitioner | 8200 Dodge St, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2012-07-19 |
| 1558649327 | Molly Elise Schlegel | Nurse Practitioner | 987400 Nebraska Medical Ctr, Omaha, NE 68198-7740 | 2011-07-28 |
| 1346549805 | Emily C Mohs | Nurse Practitioner | 8200 Dodge St, Children's Hospital & Medical Center - Nicu, Omaha, NE 68114-4113 | 2011-03-23 |
| 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.