Mary A. Alt, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

110665 Issued in NE

Practice address

110 N 29TH St
Suite 301
Norfolk, NE 68701-4424

Phone

(402) 844-4828

Fax

(402) 844-8175

NPI assigned

Jun 29, 2006

Last updated

Jul 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Health Hospital, Norfolk, NE, CCN 280125

Merit-based Incentive Payment System (MIPS)

Final score

80.77 of 100Reported as group

Quality

67.03

Promoting interoperability

96

Improvement activities

40

Cost

72.22

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment Care Compare group NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD

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

• Faith Regional Health Services

  dba Faith Health

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1326076498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "address_2": "SUITE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-844-8121",
            "fax_number": "402-844-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 29TH ST",
            "address_2": "SUITE 301",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014424",
            "telephone_number": "402-844-4828",
            "fax_number": "402-844-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALT",
        "first_name": "MARY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025561900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Allen, APRN
• Sandra Allen
• Daphyne Alley
• Barbara Allis
• Isabelle Alloway
• Deborah Lou Altwine, PHAMD
• Megan Ashley Altwine, PHARMD
• Aliza M Alvarado
• Dianne Alvarez Bell
• Dalia Alvarez Garfias

• Nurse Practitioner in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.