Active NPI
Alicia Hanson
- Physician Assistant
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1849
- Practice address
- 17404 Burke St Ste 102
Omaha, NE 68118-2242 - Phone
- (531) 466-4260
- Fax
- (531) 466-4304
- NPI assigned
- Sep 5, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 126364 | IA | |
| Physician Assistant | 363A00000X | 1849 | NE | Primary |
| Physician Assistant | 363A00000X | 0932 | SD |
Addresses
Primary practice location
17404 Burke St Ste 102
Omaha, NE 68118-2242
Mailing address
17404 Burke St Ste 102
Omaha, NE 68118-2242
Phone (531) 466-4260
Other practice location 1
20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-2611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Pender, NE 68047-4507
Phone (605) 217-5610
17404 Burke St
Suite 102
Omaha, NE 68118-2242
Phone (531) 466-4260
2510 Bellevue Medical Ctr Dr
Bellevue, NE 68123-1520
5005 Ames Ave
Omaha, NE 68104-2323
Phone (402) 559-0282
8343 S 168TH Ave
Unmc Physicians Chalco
Omaha, NE 68136-1677
Phone (402) 559-0444
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126364 | IA | MD | Registered Nurse |
| 1849 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sage Medical Prof LLC | Current | Accepting new patients | |
| Urgent Care Group LLC | Past | Accepting new patients |
Locations
17404 Burke St
Ste 102
Omaha, NE 68118
Phone (531) 466-4260
17410 Burke St
Ste 105
Omaha, NE 68118
Phone (531) 444-4757
440 N Hiawatha Dr
Canton, SD 57013
Phone (605) 987-2621
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
Interoperability endpoints
- ahanson132149@direct.nebraskamed.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Vascular Surgery Physician
- Dakota Dunes, SD
- NPI 1225636129
NE
-
- Critical Access Hospital
- Vermillion, SD
- NPI 1790721280
-
- Rural Health Clinic/Center
- Canby, MN
- NPI 1437243607
-
- Urgent Care Clinic/Center
- Omaha, NE
- NPI 1144528035
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1730580051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17404 BURKE ST STE 102",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182242",
"telephone_number": "531-466-4260",
"fax_number": "531-466-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17404 BURKE ST STE 102",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182242",
"telephone_number": "531-466-4260",
"fax_number": "531-466-4304"
}
],
"practiceLocations": [
{
"address_1": "20 S Plum St",
"address_purpose": "LOCATION",
"city": "Vermillion",
"state": "SD",
"postal_code": "570693346",
"country_code": "US",
"telephone_number": "605-624-2611",
"fax_number": "605-638-8363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "126364",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1849",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0932",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.