ALYSSA BENGTSON (PA) – Physician Assistant, NPI 1891222691
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for ALYSSA BENGTSON (PA)
603 N DIERS AVE STE 2
GRAND ISLAND, NE 688034987
Phone: (308) 398-1147
Fax: (308) 398-1149
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)
CMS reports 5 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-06-06 • Largest payer in this snapshot: ABBVIE INC. ($59).
Total Amount
$136
General + Research + Ownership
Payments
5
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $59 |
| ConvaTec Inc. | $32 |
| Medtronic, Inc. | $31 |
| Novartis Pharmaceuticals Corporation | $14 |
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: 2017-07-26
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 |
|---|---|---|---|---|
| I20170726001945 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,241 | 170 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 367 | 226 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 310 | 205 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 234 | 149 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 150 | 132 | $0 |
Insurance plans in this area (ZIP 68803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | NE | |
| D E R M A T O L O G Y | NE |
Reviews
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