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ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER PROFESSIONAL SERVICES
NPI 1770854663
Nurse Practitioner - Neonatal, Critical Care in Omaha, NE

Active since January 24, 2012
12809 W DODGE RD, OMAHA, NE 68154(402) 343-4328(402) 343-4389 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alegent Health Bergan Mercy Medical Center Professional Services NPPES

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

ALEGENT HEALTH BERGAN MERCY MEDICAL CENTER PROFESSIONAL SERVICES (NPI 1770854663) is a healthcare organization registered as a neonatal, critical care in Omaha, Nebraska and active in the NPI registry since January 2012. The organization lists Evert Kuiper, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770854663
Entity TypeOrganization
Primary Taxonomy363LN0005X
Legal Business NameALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
Location Address12809 W DODGE RDOmaha, NE 68154-2155
Mailing Address12809 W Dodge RdOmaha, NE 68154-2155 · (402) 343-4328 · Fax (402) 343-4389
Phone(402) 343-4328
Fax(402) 343-4389
Organization SubpartNo
Authorized OfficialEvert KuiperCeo · (402) 343-4420
Enumeration DateJanuary 24, 2012
Last NPPES UpdateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
✔ NPI 1770854663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
Also ListedInternal MedicineTaxonomy 207R00000X
12809 W DODGE RD, Omaha, NE 68154
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Other Names 1

Doing Business AsAlegent Health Bergan Mercy Medical Center Professional Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

REBECCA LYN WARDLAW ATC, MA, LAT
Specialist/Technologist (Athletic Trainer)
12809 W DODGE RD
OMAHA, NE 68154
Douglas County (402) 206-1945
ALEGENT CREIGHTON CLINIC
Internal Medicine
12809 W DODGE RD
OMAHA, NE 68154
Douglas County (402) 343-4328
ALEGENT CREIGHTON CLINIC
Clinical Medical Laboratory
12809 W DODGE RD
OMAHA, NE 68154
Douglas County (402) 343-4328
ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
Nurse Practitioner
12809 W DODGE RD
OMAHA, NE 68154
Douglas County (402) 398-6255
MICHAEL TIESI
Pharmacist (Ambulatory Care)
12809 W DODGE RD
OMAHA, NE 68154
Douglas County (402) 717-2614

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 Alegent Health Bergan Mercy Health System's NPI number?

The NPI number for Alegent Health Bergan Mercy Health System is 1770854663. It was assigned to this organization in the NPPES registry on January 24, 2012. The provider is doing business as Alegent Health Bergan Mercy Medical Center Professional Services.

Where is Alegent Health Bergan Mercy Health System located?

Alegent Health Bergan Mercy Health System is located at 12809 W Dodge Rd, Omaha, NE 68154. The listed phone number is (402) 343-4328.

What is Alegent Health Bergan Mercy Health System's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Alegent Health Bergan Mercy Health System was last updated on February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.