ALEJANDRO VICENTE CASANOVA VERGARAY – Acute Care Nurse Practitioner, NPI 1407636053

ALEJANDRO VICENTE CASANOVA VERGARAY is a healthcare provider. based in Kearney, Nebraska. specializing in NURSE PRACTITIONER. They hold a License No. 115067 (NE). The NPI Number for ALEJANDRO VICENTE CASANOVA VERGARAY is 1407636053

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ALEJANDRO VICENTE CASANOVA VERGARAY
NPI
1407636053
Phone
(308) 455-3600
Address
804 22nd Ave
Enumeration Date
2 October 2023
Last Update Date
20 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3088652263
Graduation Year
2023 (3 years ago)
PAC ID
0042669574
Group Practice PAC ID
5991195547
Professional Enrollment ID
I20231209000494
Address ID
NE688452226KE816XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for ALEJANDRO VICENTE CASANOVA VERGARAY

  • 804 22nd Ave

    Kearney, NE 688452206

    Phone: (308) 455-3600

    Type: Location

  • 3710 13TH AVE

    KEARNEY, NE 688458030

    Phone: (308) 440-8494

    Type: Mailing

  • 816 22ND AVE

    KEARNEY, NE 688452234

    Phone: (308) 865-2263

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $503.

Total Amount is formed as General ($503) + Research ($0) + Ownership ($0) = $503.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($144).

Total Amount

$503

General + Research + Ownership

Payments

26

Total payment records

General Amount

$503

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231209000494INurse PractitionerNETBD
I20260224001314INurse PractitionerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991195547View full group profile
NameSpecialtyState
Nurse PractitionerNE
Interventional CardiologyMD
Nurse PractitionerNE
Thoracic SurgeryWA
Family Practice, Obstetrics/GynecologyNE
Emergency MedicineNE
Nurse PractitionerNE
General SurgeryNE
Nurse PractitionerNE
Internal MedicineNE

Reviews

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Frequently asked questions

Where can patients find ALEJANDRO VICENTE CASANOVA VERGARAY's NPI?
You can confirm ALEJANDRO VICENTE CASANOVA VERGARAY with NPI 1407636053; it appears in the national provider directory.
Is ALEJANDRO VICENTE CASANOVA VERGARAY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ALEJANDRO VICENTE CASANOVA VERGARAY's specialty in plain language?
Clinically, the directory lists ALEJANDRO VICENTE CASANOVA VERGARAY with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ALEJANDRO VICENTE CASANOVA VERGARAY practice in Nebraska?
You will see Kearney, Nebraska on file for ALEJANDRO VICENTE CASANOVA VERGARAY alongside any extra practice locations.
Is ALEJANDRO VICENTE CASANOVA VERGARAY a real provider?
This page reflects official NPPES data for NPI 1407636053. Always confirm identity and privileges with the practice and licensing boards.

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