Individual provider Active NPI

Alyson Ida Pelan, AGPCNP-BC

  • Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1649045345
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115107 Issued in NE
Practice address
2501 Lakeridge Dr Ste 104a
Norfolk, NE 68701-2558
Phone
(402) 204-0651
NPI assigned
Nov 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 115107 NE Primary

Addresses

Primary practice location

2501 Lakeridge Dr Ste 104a
Norfolk, NE 68701-2558

Mailing address

2501 Lakeridge Dr Ste 104a
Norfolk, NE 68701-2558
Phone (402) 204-0651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231223000066 NE Practitioner - Nurse Practitioner 0941650402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Partners NE LLCGroup PAC ID 7113323197, 28 clinicians

Practice addresses (Care Compare)

3901 Faulkner Dr
Lincoln, NE 68516-4738
Phone (402) 858-4044

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115107NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC Nurse Practitioner CurrentSince Nov 20, 2023 Accepting new patients
Nebraska House Call Physicians, P.C. CurrentSince May 1, 2024 Accepting new patients
Value Based Long Term Care B PC CurrentSince Jun 1, 2025 Accepting new patients
Community Healthcare Partners NE LLC CurrentSince Dec 1, 2025 Accepting new patients
LMMC Lincoln, LLC Past Accepting new patients
LMMC Norfolk LLC PastSince Apr 28, 2024 Accepting new patients
LMMC LLC Past Accepting new patients

Locations

318 W 18th St
#1110
Cozad, NE 69130

3901 Faulkner Dr
Lincoln, NE 68516
Phone (402) 464-2422

250 Skillman St
Ste 202
Brooklyn, NY 11205

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

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

Organizations & group practices 7

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": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1649045345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR STE 104A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558",
            "telephone_number": "402-204-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR STE 104A",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558",
            "telephone_number": "402-204-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAN",
        "first_name": "ALYSON",
        "middle_name": "IDA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.