Individual provider Active NPI

Tessa Boesiger, AUD

  • Audiologist
  • Lincoln, NE
National Provider Identifier
1528620184
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81187 Issued in TX
Practice address
203A Barkley Memorial Center
Lincoln, NE 68583-0731
Phone
(402) 472-2071
Fax
(402) 472-3814
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 81187 TX
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 81187 TX Primary
Audiologist 231H00000X 437 NE

Addresses

Primary practice location

203A Barkley Memorial Center
Lincoln, NE 68583-0731

Mailing address

203A Barkley Memorial Center
Lincoln, NE 68583-0731
Phone (402) 472-2071

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tessa.boesiger1@direct.myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103002395 NE Practitioner - Qualified Audiologist 5991037848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Nebraska Board of RegentsGroup PAC ID 3971564279, 44 clinicians

Practice addresses (Care Compare)

4075 E Campus Loop S
Lincoln, NE 68583-1530
Phone (402) 472-2071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
437NEMDAudiologist
81187TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Nebraska Board of Regents Multi-Specialty Current Accepting new patients
University of Nebraska Board of Regents Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
University of Nebraska Board of Regents CurrentSince Sep 1, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Multi-Specialty Past Accepting new patients

Locations

4075 E Campus Loop S
Lincoln, NE 68583
Phone (402) 472-2068

Interoperability endpoints

  • Direct secure messaging: tessa.boesiger1@direct.myteamcare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1528620184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203A BARKLEY MEMORIAL CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830731",
            "telephone_number": "402-472-2071",
            "fax_number": "402-472-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203A BARKLEY MEMORIAL CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830731",
            "telephone_number": "402-472-2071",
            "fax_number": "402-472-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESIGER",
        "first_name": "TESSA",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "TX",
            "license": "81187",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81187",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tessa.boesiger1@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th St Stop 9905",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794309905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.