Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Anne Vandewalle, APRN

Individual provider Family Nurse Practitioner · NPI 1104276948

Alicia Anne Vandewalle, APRN is a Nurse Practitioner in Randolph, Nebraska. Graduated from Univ of Nebraska Medical Center, Col of Dentistry in 2016, 10 years ago. Practices with Osmond General Hospital Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
10
Trained at
Univ of Nebraska Medical Center, Col of Dentistry
Licensed in
NE
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

106 E Wayne St
Randolph, NE 68771-5300
Phone: (402) 337-0200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 112022 (NE)

Record details

NPI number1104276948
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 13, 2016
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
Graduated 2016 (10 years in practice)
Group practice Osmond General Hospital Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount