Individual provider Active NPI

Alexei Boettcher Rosenthal, APRN-NP

  • Nurse Practitioner
  • Papillion, NE
National Provider Identifier
1275166126
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113061 Issued in NE
Practice address
312 Olson Dr
Papillion, NE 68046-2978
Phone
(402) 933-6300
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A162560 IA
Nurse Practitioner 363L00000X 113061 NE Primary
Family Nurse Practitioner 363LF0000X 113061 NE

Addresses

Primary practice location

312 Olson Dr
Papillion, NE 68046-2978

Mailing address

20711 Fowler Ave
Elkhorn, NE 68022-2665
Phone (402) 910-3593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210219000827 NE Practitioner - Nurse Practitioner 4587079819 Reassigns benefits to 3 organizations
I20210225001985 IA Practitioner - Nurse Practitioner 4587079819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

3434 W Broadway
102 Urohealth Partners
Council Bluffs, IA 51501-3291
Phone (712) 325-0014

Hospital & facility affiliations

  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • St Francis Memorial Hospital Hospital, West Point, NE, CCN 281322
  • Memorial Community Hospital & Health System Hospital, Blair, NE, CCN 281359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center, PC CurrentSince Jul 1, 2025 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Adult & Pediatric Urology, PC CurrentSince Aug 3, 2022 Accepting new patients
Urology Center PC CurrentSince Jul 1, 2025 Accepting new patients
Urology Center PC CurrentSince Aug 3, 2022 Accepting new patients
Physicians Clinic Inc Nurse Practitioner CurrentSince Mar 15, 2021 Accepting new patients

Locations

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014

1001 Risen Son Blvd
Council Bluffs, IA 51503
Phone (712) 256-8591

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

10710 Fort St
Omaha, NE 68134
Phone (402) 354-7500

10707 Pacific St
Ste 101
Omaha, NE 68114

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

Interoperability endpoints

  • Direct secure messaging: alexei.rosenthal@direct.nmhs.org
  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alexei.rosenthal.p1@direct.tuc.nextgenshare.com

Organizations & group practices 6

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 6

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1275166126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20711 FOWLER AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222665",
            "telephone_number": "402-910-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 OLSON DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462978",
            "telephone_number": "402-933-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "ALEXEI",
        "middle_name": "BOETTCHER",
        "credential": "APRN-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A162560",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113061",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.