Alejandro Vicente Casanova Vergaray

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

115067 Issued in NE

Practice address

816 22ND Ave
Kearney, NE 68845-2234

Phone

(308) 865-2263

NPI assigned

Oct 2, 2023

Last updated

Oct 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, KS2 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acasanovavergaray175109@hisp.bryanhealth.org

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.

• Bryan Hospital Kearney

  dba Kearney Regional Medical Center Platte Valley Medical Clinic

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1033875380

  KS

  Medicare reassignment Care Compare group NPD
• Bryan Hospital Kearney

  dba Kearney Regional Medical Center

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  NPD
• Platte Valley Medical Group, P.C.

  • Internal Medicine Physician
  • Kearney, NE
  • NPI 1144203324
  NPD (past)

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

• Bryan Hospital Kearney

  dba Kearney Regional Medical Center

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  Care Compare affiliation

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1407636053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 13TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458030",
            "telephone_number": "308-440-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452234",
            "telephone_number": "308-865-2263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688452206",
            "country_code": "US",
            "telephone_number": "308-455-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASANOVA VERGARAY",
        "first_name": "ALEJANDRO",
        "middle_name": "VICENTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NE",
            "license": "115067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Carpenter
• Micki Carraher
• Brett Joseph Carranza, DDS
• Ashley Carrier
• Rebecca L Carstensen
• Sara Casey
• Allison Margaret Casper, PA-C
• Ranay Victoria Casper
• Theresa 'Terri' Lynn Casper
• Cheyene Cassidy

• Acute Care Nurse Practitioner in Kearney, NE
• Providers in Kearney, NE by specialty
• Acute Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.