Alexi Nicole Peterson, PA-C
Individual provider Active NPI Physician Assistant · North Platte, NE
NPI 1891304689 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1891304689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2590 (NE)
- Practice address
- 1115 S Willow St
North Platte, NE 69101-6082 - Phone
- (308) 534-4804
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Platte OB/GYN PC
Practice addresses (Care Compare)
1115 S Willow St
North Platte, NE 69101-6082
Phone (308) 534-4804
Hospital & facility affiliations
- The Nebraska Medical Center
- Great Plains Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210319000881 | NE | Practitioner - Physician Assistant | 2769899640 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106922 | IA | MD | Physician Assistant |
| 2590 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Hospital Corporation | Current |
Accepting new patients |
Locations
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
220 W Leota St
Ste 2
North Platte, NE 69101
Phone (308) 534-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 2590 | NE | Yes |
| Physician Assistant | 363A00000X | 106922 | IA |
Addresses
Primary practice location
1115 S Willow St
North Platte, NE 69101-6082
Mailing address
1115 S Willow St
North Platte, NE 69101-6082
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2590 | Other | NE | STATE LICENSE |
| 106922 | Other | IA | STATE LICENSE |
Other names
- Alexi Nicole Seely
Other providers in North Platte, NE
- David Perry
- Lynda L Perry
- Barbara Arlene Petersen
- Paige Petersen
- Aaron Oscar Peterson
- Candice Lyn Pettigrew
- Bridget R Pettit
- Bonnie Pfannkuch
- Lannae Lynn Phelps
- Hanna R Pieper
All providers in North Platte, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.