Individual provider Active NPI

Alyssa Schandler Hickert, M.D.

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1164874095
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
TEP7745 Issued in NE
Practice address
985582 Nebraska Medical Ctr
Cu Department of Psychiatry
Omaha, NE 68198-5582
Phone
(402) 552-6222
NPI assigned
Jul 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TEP7745 NE Primary

Addresses

Primary practice location

985582 Nebraska Medical Ctr
Cu Department of Psychiatry
Omaha, NE 68198-5582

Mailing address

985582 Nebraska Medical Ctr
Cu Department of Psychiatry
Omaha, NE 68198-5582
Phone (402) 552-6222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahickert544120@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909002428 UT Practitioner - Psychiatry 3274895966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone (801) 585-1575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
66.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEP7745NEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Behavioral Health Services CurrentSince Sep 1, 2021 Accepting new patients
University of Utah Acuity Care Services CurrentSince Sep 1, 2021 Accepting new patients
University of Utah Acuity Care Services Current Accepting new patients
University of Utah Behavioral Health Services Psychiatry Current Accepting new patients
University of Utah Behavioral Health Services Psychiatry CurrentSince Sep 1, 2021 Accepting new patients

Locations

250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003

127 S 500 E
Ste 200
Salt Lake City, UT 84102

127 S 500 E
Salt Lake Cty, UT 84102

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951

240 Morris Ave
Ste 400
South Salt Lake, UT 84115
Phone (801) 581-5515

Interoperability endpoints

  • Direct secure messaging: ahickert544120@direct.med.utah.edu

Organizations & group practices 5

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": "1467504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1164874095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985582 NEBRASKA MEDICAL CTR",
            "address_2": "CU DEPARTMENT OF PSYCHIATRY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985582",
            "telephone_number": "402-552-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985582 NEBRASKA MEDICAL CTR",
            "address_2": "CU DEPARTMENT OF PSYCHIATRY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985582",
            "telephone_number": "402-552-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERT",
        "first_name": "ALYSSA",
        "middle_name": "SCHANDLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-03",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "TEP7745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahickert544120@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.