Individual provider Active NPI

Alisa Ann Kniffen, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1811609555
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
114465 Issued in NE
Practice address
204 E 25TH St Ste 4
Kearney, NE 68847-4569
Phone
(308) 270-0368
Fax
(308) 270-0080
NPI assigned
Dec 14, 2022
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 114465 NE Primary

Addresses

Primary practice location

204 E 25TH St Ste 4
Kearney, NE 68847-4569

Mailing address

204 E 25TH St Ste 4
Kearney, NE 68847-4569
Phone (308) 270-0368

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
I20230127002546 NE Practitioner - Nurse Practitioner 7113398207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians
Florez Integrated Psychiatric Services LLCGroup PAC ID 3678930229, 2 clinicians

Practice addresses (Care Compare)

1755 Prairie View PL
Kearney, NE 68845-8300
Phone (308) 865-2249

204 E 25TH St
Suite 2
Kearney, NE 68847-4569
Phone (308) 270-0368

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114465NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health Psychiatry CurrentSince Oct 26, 2022 Accepting new patients
Florez Integrated Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Sep 5, 2025 Accepting new patients
Florez Mental Health LLC Psychiatric/Mental Health CurrentSince Jan 13, 2026 Accepting new patients
Alegent Creighton Health CurrentSince Oct 26, 2022 Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

204 E 25th St
Ste 2
Kearney, NE 68847
Phone (308) 270-0368

204 E 25th St
Ste 6
Kearney, NE 68847
Phone (308) 270-0368

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

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.

Hospital & facility affiliations 2

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1811609555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 25TH ST STE 4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474569",
            "telephone_number": "308-270-0368",
            "fax_number": "308-270-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 25TH ST STE 4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474569",
            "telephone_number": "308-270-0368",
            "fax_number": "308-270-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIFFEN",
        "first_name": "ALISA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "114465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.