Active NPI
Tessa Boesiger, AUD
- Audiologist
- Lincoln, NE
National Provider Identifier
1528620184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81187
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | 81187 | TX | |
| Audiologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 437 | NE | MD | Audiologist |
| 81187 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Nebraska Board of Regents | Multi-Specialty | Current | Accepting new patients |
| University of Nebraska Board of Regents | Multi-Specialty | Current | Accepting new patients |
| University of Nebraska Board of Regents | Current | 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
- 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.
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- Omaha, NE
- NPI 1316979628
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Multi-Specialty
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.