Individual provider Active NPI

Alicia Kay Mizner, M.D.

  • Internal Medicine Physician
  • Columbus, NE
National Provider Identifier
1104238096
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30111 Issued in NE
Practice address
4600 38TH St
Columbus, NE 68601-1664
Phone
(402) 562-4442
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7144 NE
Internal Medicine Physician 207R00000X 30111 NE Primary

Addresses

Primary practice location

4600 38TH St
Columbus, NE 68601-1664

Mailing address

PO Box 1800
Columbus, NE 68602-1800

Other identifiers 1

IdentifierTypeStateIssuer
7144OtherNETEP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821001240 NE Practitioner - HospitalistPractitioner - Internal Medicine 0648491233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Hospital Medicine, LLCGroup PAC ID 4688790991, 4 clinicians

Practice addresses (Care Compare)

4600 38TH St
Columbus, NE 68601-1664
Phone (402) 562-4442

Hospital & facility affiliations

  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Columbus Community Hospital, Inc Nursing home, CCN 28U111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7144NEMDGeneral Practice Dentistry
30111NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1104238096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1800",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686021800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011664",
            "telephone_number": "402-562-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZNER",
        "first_name": "ALICIA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "7144",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "30111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEP",
            "identifier": "7144",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.