NPIMap

Organization Active NPI

Alegent Health Bergan Mercy Health System

Doing business as Alegent Health Bergan Mercy Medical Center Professional Services

  • Critical Care Neonatal Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1770854663
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
Legal business name
ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
Doing business as
Alegent Health Bergan Mercy Medical Center Professional Services
Practice address
12809 W Dodge Rd
Omaha, NE 68154-2155
Phone
(402) 343-4328
Fax
(402) 343-4389
NPI assigned
Jan 24, 2012
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Evert Kuiper
Title
Ceo
Phone
(402) 343-4420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

12809 W Dodge Rd
Omaha, NE 68154-2155

Mailing address

12809 W Dodge Rd
Omaha, NE 68154-2155
Phone (402) 343-4328

Other names 1

  • Alegent Health Bergan Mercy Medical Center Professional Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alegent Health Bergan Mercy15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1770854663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542155",
            "telephone_number": "402-343-4328",
            "fax_number": "402-343-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542155",
            "telephone_number": "402-343-4328",
            "fax_number": "402-343-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "KUIPER",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alegent Health Bergan Mercy Medical Center Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alegent Health Bergan Mercy Medical Center Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.