| Alivation Health, Llc | |
|
8550 Cuthills Circle Lincoln NE 68526-9467 | |
| (402) 476-6060 | |
| (402) 476-6809 |
| Full Name | Alivation Health, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8550 Cuthills Circle, Lincoln, Nebraska |
| Authorized Official Name and Position | Walter J. Duffy (OWNER/CEO) |
| Authorized Official Contact | 4024766060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alivation Health, Llc 8550 Cuthills Circle Lincoln NE 68526-9467 Ph: (402) 476-6060 | Alivation Health, Llc 8550 Cuthills Circle Lincoln NE 68526-9467 Ph: (402) 476-6060 |
| NPI Number | 1710917448 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0941199681 |
|---|---|
| Medicare Enrollment ID | O20040311001200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710917448 | NPI | - | NPPES |
| 098936 | Other | NE | PTAN |
| 10025071300 | Medicaid | NE |
| Provider Name | Walter J Duffy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093853368 PECOS PAC ID: 2961391628 Enrollment ID: I20041015000286 |
| Provider Name | Marlon K Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285663708 PECOS PAC ID: 4183685324 Enrollment ID: I20041021000590 |
| Provider Name | Allison Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508064718 PECOS PAC ID: 8224123690 Enrollment ID: I20070929000077 |
| Provider Name | Annette K Marget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467436980 PECOS PAC ID: 6901806082 Enrollment ID: I20071129000356 |
| Provider Name | Tayo Obatusin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477727592 PECOS PAC ID: 1850445891 Enrollment ID: I20090811000138 |
| Provider Name | Nathan Dg Herman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689987836 PECOS PAC ID: 5193977023 Enrollment ID: I20121128000586 |
| Provider Name | Christina M Cassel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689803397 PECOS PAC ID: 8022261155 Enrollment ID: I20130123000333 |
| Provider Name | Patricia M Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962832428 PECOS PAC ID: 9133358781 Enrollment ID: I20140131001152 |
| Provider Name | Huong X Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174928287 PECOS PAC ID: 1456673581 Enrollment ID: I20141201000898 |
| Provider Name | Amarachi Chika Ogbonnaya-akpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386038024 PECOS PAC ID: 9436461266 Enrollment ID: I20150707002527 |
| Provider Name | Tawni Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912363342 PECOS PAC ID: 3274837521 Enrollment ID: I20160205001592 |
| Provider Name | April L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605557 PECOS PAC ID: 5294030144 Enrollment ID: I20160301002367 |
| Provider Name | Kelli J Stoffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679933725 PECOS PAC ID: 5395042584 Enrollment ID: I20160404000749 |
| Provider Name | Megan N Basnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457768954 PECOS PAC ID: 3274812557 Enrollment ID: I20161109000057 |
| Provider Name | Lauren A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568793057 PECOS PAC ID: 0840328829 Enrollment ID: I20180821000975 |
| Provider Name | Miranda A Pollman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856898 PECOS PAC ID: 2163766783 Enrollment ID: I20181207000512 |
| Provider Name | Georgina L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194208900 PECOS PAC ID: 9133464118 Enrollment ID: I20181219001849 |
| Provider Name | Jennifer D Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881251189 PECOS PAC ID: 6406184274 Enrollment ID: I20190819001975 |
| Provider Name | Kerry L Emeigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629621354 PECOS PAC ID: 4880925742 Enrollment ID: I20191008002810 |
| Provider Name | Thomas Knutson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003109745 PECOS PAC ID: 1759684939 Enrollment ID: I20191125001809 |
| Provider Name | Ashley M Marreel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114301439 PECOS PAC ID: 7618282542 Enrollment ID: I20200713000343 |
| Provider Name | Kristen M Speaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861912453 PECOS PAC ID: 1355769290 Enrollment ID: I20200909003142 |
| Provider Name | Jamie R Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619971678 PECOS PAC ID: 3274951090 Enrollment ID: I20200910002522 |
| Provider Name | Crystal C Lee Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568053098 PECOS PAC ID: 9537575865 Enrollment ID: I20210310001763 |
| Provider Name | Vanessa E Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588283311 PECOS PAC ID: 7719386507 Enrollment ID: I20210527001663 |
| Provider Name | Rebecca M Steinhour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952067274 PECOS PAC ID: 1456746320 Enrollment ID: I20220314000148 |
| Provider Name | Richard J Moldawsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447327390 PECOS PAC ID: 8426186776 Enrollment ID: I20230925002945 |
| Provider Name | Tracy Schaaf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740465202 PECOS PAC ID: 3173966207 Enrollment ID: I20240206002441 |
| Provider Name | Elia M Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194177386 PECOS PAC ID: 7618310749 Enrollment ID: I20240206002449 |
| Provider Name | Melissa A Lile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659660983 PECOS PAC ID: 1759726078 Enrollment ID: I20240227000918 |
| Provider Name | Patrick R Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316486210 PECOS PAC ID: 2264878792 Enrollment ID: I20240307000211 |
| Provider Name | Mikki J Mcbride |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063670560 PECOS PAC ID: 6709222912 Enrollment ID: I20240311002131 |
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