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ALICIA ANNE VANDEWALLE APRN
NPI 1104276948
Nurse Practitioner - Family in Randolph, NE

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
106 E WAYNE ST, RANDOLPH, NE 68771(402) 337-0200 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2022, Jun 13, 2016 (2 updates tracked since 2016).

About Alicia Anne Vandewalle Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA ANNE VANDEWALLE APRN (NPI 1104276948) is an individual family provider in Randolph, Nebraska, licensed in Nebraska (112022) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of Univ Of Nebraska Medical Center, Col Of Dentistry (2016).

NPPES Registry Identity

NPI1104276948
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICIA ANNE VANDEWALLECredential: APRN
Location Address106 E WAYNE STRandolph, NE 68771-5300
Mailing AddressPo Box 429, 402 N MapleOsmond, NE 68765-0429 · (402) 748-3393
Phone(402) 337-0200
Sole ProprietorNo
Medical School CMSUniv Of Nebraska Medical Center, Col Of DentistryGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1104276948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NE · 112022
106 E WAYNE ST, Randolph, NE 68771
Open in Google Maps ↗

Other Names 1

Former Name (1)Alicia Anne Mavis Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia Anne Vandewalle Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658663406
PECOS Enrollment IDI20160714001396
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services13 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Osmond General Hospital

Critical Access Hospitals · Osmond, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281347
Location402 North Maple StOsmond, NE 68765 · Pierce County
Emergency services

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68771 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers54 claims88 services$5.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims55 services$3.11 avg. paid by Medicare
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$38.26 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers37 claims37 services$7.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$115.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY LEIGH BULLOCK D.O.
Family Medicine
106 E WAYNE ST
RANDOLPH, NE 68771
Cedar County (402) 337-0200
DR. DAVID MWEBE M.D.
Family Medicine
106 E WAYNE ST
RANDOLPH, NE 68771
Cedar County (402) 337-0200
OSMOND GENERAL HOSPITAL INC
Family Medicine
106 E WAYNE ST
RANDOLPH, NE 68771
Cedar County (402) 337-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Vandewalle's NPI number?

The NPI number for Alicia Vandewalle is 1104276948. It was assigned to this individual provider in the NPPES registry on June 13, 2016. The provider is also known as Alicia Anne Mavis Aprn.

Where is Alicia Vandewalle located?

Alicia Vandewalle practices at 106 E Wayne St, Randolph, NE 68771. The listed phone number is (402) 337-0200.

What is Alicia Vandewalle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alicia Vandewalle enrolled in Medicare?

Yes. Alicia Vandewalle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alicia Vandewalle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 4 other insurers list Alicia Vandewalle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alicia Vandewalle affiliated with any hospitals?

According to CMS data, Alicia Vandewalle is affiliated with Faith Regional Health Services, Osmond General Hospital and Avera Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Vandewalle was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.