Individual provider Active NPI

Alisa Joann Nollendorfs, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1679573653
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22206 Issued in NE
Practice address
7441 O St Ste 300
Lincoln, NE 68510-2497
Phone
(402) 488-7400
Fax
(402) 488-0739
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22206 NE Primary

Addresses

Primary practice location

7441 O St Ste 300
Lincoln, NE 68510-2497

Mailing address

7441 O St Ste 300
Lincoln, NE 68510-2497
Phone (402) 488-7400

Other identifiers 1

IdentifierTypeStateIssuer
47082189713MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alisa.nollendorfs.1@9271.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419000960 NE Practitioner - Family Practice 7214922210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Family Medical Group PCGroup PAC ID 8022906775, 16 clinicians

Practice addresses (Care Compare)

7441 O St
Suite 300
Lincoln, NE 68510-2468
Phone (402) 488-7400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22206NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Partners NE LLC CurrentSince May 27, 2021 Accepting new patients
Lincoln Family Medical Group PC Family Medicine CurrentSince Jan 4, 2022 Accepting new patients
Urgent Care Clinic of Lincoln, P.C. Past Accepting new patients
Downtown Physicians Group Family Medicine Past Accepting new patients

Locations

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

7441 O St
Ste 300
Lincoln, NE 68510
Phone (402) 483-6575

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDJECD
  • Direct secure messaging: alisa.nollendorfs.1@9271.direct.athenahealth.com
  • Direct secure messaging: alisa.nollendorfs@lfmgp-ne.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eventide WilliamsburgLincoln, NE, CCN 285288 Skilled nursing facility Adp of the SNF Apr 10, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1679573653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 O ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102497",
            "telephone_number": "402-488-7400",
            "fax_number": "402-488-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 O ST STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102497",
            "telephone_number": "402-488-7400",
            "fax_number": "402-488-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLENDORFS",
        "first_name": "ALISA",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47082189713",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alisa.nollendorfs.1@9271.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4600 Valley Rd",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685104855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.