Individual provider Active NPI

Maria Victoria G Ali, APN

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1609041573
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112850 Issued in NE
Practice address
6901 N 72ND St Ste 2400
Omaha, NE 68122-1709
Phone
(402) 717-0070
Fax
(402) 717-0073
NPI assigned
Apr 23, 2008
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209006974 IL
Nurse Practitioner 363L00000X 112850 NE Primary
Adult Health Nurse Practitioner 363LA2200X 209.006974 IL

Addresses

Primary practice location

6901 N 72ND St Ste 2400
Omaha, NE 68122-1709

Mailing address

7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6248

Other practice location 1

25 N. Winfield Rd.
Winfield, IL 60190-1295
Phone (630) 933-4056

Other practice location 2

25 N. Winfield Rd.
Winfield, IL 60190
Phone (630) 933-4056

Other identifiers 2

IdentifierTypeStateIssuer
206147OtherILMEDICARE PTAN (GROUP)
206147087OtherILMEDICARE PTAN (INDIVIDUAL)

Other names 1

  • Vicky Ali Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20190716003321 NE Practitioner - Nurse Practitioner 1557373891 Reassigns benefits to 1 organization
I20200903002294 IA Practitioner - Nurse Practitioner 1557373891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

6901 N 72ND St
Suite 2400
Omaha, NE 68122-1709
Phone (402) 717-0070

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.006974ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Jul 1, 2019 Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 1, 2020 Accepting new patients
Dupage Medical Group LTD Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

6901 N 72nd St
Ste 2400
Omaha, NE 68122
Phone (402) 658-1391

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Organizations & group practices 3

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1609041573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6248",
            "fax_number": "402-829-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST STE 2400",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-717-0070",
            "fax_number": "402-717-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N. Winfield Rd.",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901295",
            "country_code": "US",
            "telephone_number": "630-933-4056",
            "fax_number": "630-933-4057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N. Winfield Rd.",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "60190",
            "country_code": "US",
            "telephone_number": "630-933-4056",
            "fax_number": "630-933-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "MARIA VICTORIA",
        "middle_name": "G",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209006974",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112850",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.006974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (GROUP)",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (INDIVIDUAL)",
            "identifier": "206147087",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "ALI",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.