DR. ALISA JOANN NOLLENDORFS (MD) – Family Medicine Physician, NPI 1679573653
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
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Provider Addresses for DR. ALISA JOANN NOLLENDORFS (MD)
3402, Washington Street, 40th & "A", Lincoln, Lancaster County, Nebraska, 68506, United States
LINCOLN, NE 685061049
Phone:
Type: Mailing
1800, O Street, Downtown, Haymarket, Lincoln, Lancaster County, Nebraska, 68508, United States
LINCOLN, NE 685081766
Phone: (402) 475-7000
Fax: (402) 475-6003
Type: Location
4600 VALLEY RD
LINCOLN, NE 685104855
Phone: (402) 483-4571
Fax: (402) 475-6003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $604.
Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($208).
Total Amount
$604
General + Research + Ownership
Payments
35
Total payment records
General Amount
$604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $208 |
| Novo Nordisk Inc | $101 |
| PFIZER INC. | $64 |
| Impulse Dynamics (USA) Inc. | $39 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $29 |
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: 2004-04-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040419000960 | I | Family Practice | NE | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 279 | 185 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 37 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 31 | 31 | $0 |
| 81003 | Automated urinalysis test | 29 | 27 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 23 | $0 |
Insurance plans in this area (ZIP 68506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NE | |
| Mental Health Counselor | NE | |
| Internal Medicine | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE | |
| Clinical Social Worker | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Family Practice, Emergency Medicine | NE | |
| Physician Assistant | NE |
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