Individual provider Active NPI

Alicia Hanson

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1730580051
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1849 Issued in NE
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

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20141215001914 SD Practitioner - Physician Assistant 2466774856 Reassigns benefits to 1 organization
I20150402001450 NE Practitioner - Physician Assistant 2466774856 Reassigns benefits to 3 organizations
I20250408001068 IA Practitioner - Physician Assistant 2466774856

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
Vascular and Interventional Radiology of SiouxlandGroup PAC ID 7113330663, 24 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

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

LicenseStateTypeSpecialty
126364IAMDRegistered Nurse
1849NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Sep 30, 2014 Accepting new patients
Sage Medical Prof LLC CurrentSince Dec 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.