ALYSON IDA PELAN (AGPCNP-BC) – Nurse Practitioner, NPI 1649045345

ALYSON IDA PELAN (AGPCNP-BC) is a healthcare provider. based in Neligh, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 115107 (NE). The NPI Number for ALYSON IDA PELAN (AGPCNP-BC) is 1649045345

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALYSON IDA PELAN (AGPCNP-BC)
NPI
1649045345
Phone
(402) 841-6737
Address
1107 Q ST
Enumeration Date
22 November 2023
Last Update Date
22 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028584044
Graduation Year
2023 (3 years ago)
PAC ID
0941650402
Group Practice PAC ID
7113323197
Professional Enrollment ID
I20231223000066
Address ID
NE685164738LI3901XDRXX300
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

2,114 NURSE PRACTITIONER in NE

Provider Addresses for ALYSON IDA PELAN (AGPCNP-BC)

  • 1107 Q ST

    NELIGH, NE 687561017

    Phone: (402) 841-6737

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20231223000066INurse PractitionerNETBD

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 68756)

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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: 7113323197View full group profile
NameSpecialtyState
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerLA
Nurse PractitionerCO
Internal MedicineNE
Nurse PractitionerNE
Nurse PractitionerNE
H O S P I T A L I S TNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

How do payers reference ALYSON IDA PELAN (AGPCNP-BC)?
For ALYSON IDA PELAN (AGPCNP-BC), use NPI 1649045345 as the unique 10-digit identifier.
Would ALYSON IDA PELAN (AGPCNP-BC) appear as active to a payer?
You can treat ALYSON IDA PELAN (AGPCNP-BC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ALYSON IDA PELAN (AGPCNP-BC)?
ALYSON IDA PELAN (AGPCNP-BC)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Nebraska is ALYSON IDA PELAN (AGPCNP-BC) registered?
Use Neligh, Nebraska as the headline location for ALYSON IDA PELAN (AGPCNP-BC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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