Individual provider Active NPI

Alexis Cushman, NP

  • Gerontology Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1376218412
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
116213 Issued in NE
Practice address
2816 Ames Ave
Omaha, NE 68111-2431
Phone
(531) 895-7802
Fax
(531) 895-4013
NPI assigned
Aug 11, 2021
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2337543 MA
Gerontology Nurse Practitioner 363LG0600X 116213 NE Primary
Gerontology Nurse Practitioner 363LG0600X RN2337543 MA
Registered Nurse 163W00000X RN2337543 MA

Addresses

Primary practice location

2816 Ames Ave
Omaha, NE 68111-2431

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

725 Albany St, Suite 7B
Shapiro Bldg
Boston, MA 02118
Phone (617) 638-8456

Other practice location 2

9 Payson Rd Ste 100
Foxboro, MA 02035-1309
Phone (781) 551-5812

Other identifiers 2

IdentifierTypeStateIssuer
110180751AMedicaidMA
3138558MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NE2 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
I20211206000942 MA Practitioner - Nurse Practitioner 1052701091
I20251013002302 NE Practitioner - Nurse Practitioner 1052701091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Woodmont Blvd
Suite 600
Nashville, TN 37205-5250

15 Algerine St
Berkley, MA 02779-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2337543MAMDGerontology Nurse Practitioner
116213NEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Center of New England, P.C. CurrentSince Sep 1, 2021 Accepting new patients
Archwell Health Professional Services, P.a. CurrentSince Sep 15, 2025 Accepting new patients

Locations

9 Payson Rd
Ste 100
Foxboro, MA 02035
Phone (781) 551-5812

2816 Ames Ave
Omaha, NE 68111
Phone (531) 895-7801

5401 N 90th St
Omaha, NE 68134
Phone (531) 895-7902

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHCCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJBCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1376218412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681112431",
            "telephone_number": "531-895-7802",
            "fax_number": "531-895-4013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany St, Suite 7B",
            "address_2": "Shapiro Bldg",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-8456",
            "fax_number": "617-638-8465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Payson Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Foxboro",
            "state": "MA",
            "postal_code": "020351309",
            "country_code": "US",
            "telephone_number": "781-551-5812",
            "fax_number": "508-698-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "ALEXIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2337543",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NE",
            "license": "116213",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2337543",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2337543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110180751A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138558",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.