Alyssa Bengtson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

603 N Diers Ave Ste 2
Grand Island, NE 68803-4987

Phone

(308) 398-1147

Fax

(308) 398-1149

NPI assigned

May 11, 2017

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Skin Cancer Center PAGroup PAC ID 1557304672, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.91 of 100Reported as group

Quality

60.37

Promoting interoperability

0

Improvement activities

40

Cost

65.99

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alyssa@ksderm.emadirect.md

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.

• Advanced Dermatology and Skin Cancer Center, PA

  • Dermatology Physician
  • Manhattan, KS
  • NPI 1124094867

  NE

  Medicare reassignment Care Compare group
• Kearney Pain Treatment Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Kearney, NE
  • NPI 1881031235
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1891222691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N DIERS AVE STE 2",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034987",
            "telephone_number": "308-398-1147",
            "fax_number": "308-398-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N DIERS AVE STE 2",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034987",
            "telephone_number": "308-398-1147",
            "fax_number": "308-398-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "ALYSSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bersabe Beem
• Cathleen Bell
• Tammy Lynn Bell
• Lynn Bender, M.S., CCC/SLP
• Alexander Bendt, OTR/L
• Cindy (Cynthia) Marie (M.) Bennett, MSW, LCSW
• Kelsi Ann Bennett, APRN
• Lacy Marie Bennett
• Sarah B Bennett, CSW
• Bens Drug Store Inc (Bens Pharmacy)

• Physician Assistant in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.

Verify at the official NPI Registry.