Individual provider Active NPI

Marie A Bissell, APRN

  • Gerontology Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1922393776
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
111240 Issued in NE
Practice address
3900 Pine Lake Rd
Lincoln, NE 68516-5489
Phone
(402) 981-1167
NPI assigned
Jun 9, 2011
Reactivated
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 111240 NE Primary

Addresses

Primary practice location

3900 Pine Lake Rd
Lincoln, NE 68516-5489

Mailing address

9335 Ellison Ave
Omaha, NE 68134-1716
Phone (402) 981-1167

Other identifiers 2

IdentifierTypeStateIssuer
111240OtherNENE LICENSE
J133569OtherIAIA LICENSE

Other names 1

  • Marie A McQuade Former name

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
I20110707000156 NE Practitioner - Nurse Practitioner 2668650011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
73.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care B PC CurrentSince Jun 1, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1922393776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9335 ELLISON AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341716",
            "telephone_number": "402-981-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165489",
            "telephone_number": "402-981-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2025-06-23",
        "deactivation_date": "2025-05-23",
        "reactivation_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NE",
            "license": "111240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE LICENSE",
            "identifier": "111240",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA LICENSE",
            "identifier": "J133569",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "MCQUADE",
            "middle_name": "A",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.