Individual provider Active NPI

Alyssa Nordby, APRN, CDCES

  • Diabetes Educator Registered Nurse
  • Norfolk, NE
National Provider Identifier
1811594526
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
86457 Issued in NE
Practice address
801 E Benjamin Ave
Norfolk, NE 68701-6831
Phone
(402) 844-7902
NPI assigned
Oct 6, 2020
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114213 NE
Diabetes Educator Registered Nurse 163WD0400X 86457 NE Primary

Addresses

Primary practice location

801 E Benjamin Ave
Norfolk, NE 68701-6831

Mailing address

801 E Benjamin Ave
Norfolk, NE 68701-6831
Phone (402) 844-7902

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alyssa.nordby@unmc.edu Direct

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
I20230508002239 NE Practitioner - Nurse Practitioner 1355706706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Health Center IncGroup PAC ID 9133110182, 14 clinicians

Practice addresses (Care Compare)

302 W Phillip Ave
Norfolk, NE 68701-5248
Phone (402) 370-1064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86457NEMDDiabetes Educator Registered Nurse
114213NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Health Center, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Midtown Health Center, Inc. CurrentSince May 1, 2023 Accepting new patients
Midtown Health Center, Inc. CurrentSince May 1, 2023 Accepting new patients
Faith Regional Physician Services, LLC PastSince Oct 1, 2020 Accepting new patients
Faith Regional Physician Services, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

302 W Phillip Ave
Norfolk, NE 68701
Phone (402) 370-1064

801 E Benjamin Ave
Norfolk, NE 68701
Phone (402) 844-7902

Interoperability endpoints

  • Direct secure messaging: alyssa.nordby.p1@direct.midtownhealthcenter.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1811594526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E BENJAMIN AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687016831",
            "telephone_number": "402-844-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E BENJAMIN AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687016831",
            "telephone_number": "402-844-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDBY",
        "first_name": "ALYSSA",
        "credential": "APRN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114213",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NE",
            "license": "86457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alyssa.nordby@unmc.edu",
            "affiliation": "N",
            "endpointDescription": "alyssa.nordby@unmc.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 E Benjamin Ave",
            "city": "Norfolk",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687016831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.