Individual provider Active NPI

Amber M Zeisler, PSYD

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1013996966
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
778 Issued in NE
Practice address
4535 Normal Blvd
Ste 295
Lincoln, NE 68506-2890
Phone
(402) 853-6686
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 778 NE Primary

Addresses

Primary practice location

4535 Normal Blvd
Ste 295
Lincoln, NE 68506-2890

Mailing address

4535 Normal Blvd
Ste 295
Lincoln, NE 68506-2890
Phone (402) 853-6686

Other identifiers 1

IdentifierTypeStateIssuer
496220104MedicaidMO

Other names 1

  • Amber M Schaffner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000833 NE Practitioner - Clinical Psychologist 6204833635 Reassigns benefits to 1 organization
Practice locations: Lincoln, NE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1001 S 70TH St
Suite 102
Lincoln, NE 68510-7901
Phone (531) 254-5545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
778NEMDClinical Psychologist
029915MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Defy the Cycle LLC Clinical CurrentSince Sep 14, 2021 Accepting new patients
Russ Hansen MSPC Past Accepting new patients
Compass Health, Inc Past Accepting new patients
Rod W. Kohl, P.C. Past Accepting new patients

Locations

4535 Normal Blvd
Ste 295
Lincoln, NE 68506
Phone (402) 853-6686

1001 S 70th St
Ste 102
Lincoln, NE 68510
Phone (402) 809-5723

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1013996966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD",
            "address_2": "STE 295",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062890",
            "telephone_number": "402-853-6686",
            "fax_number": "888-972-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 NORMAL BLVD",
            "address_2": "STE 295",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062890",
            "telephone_number": "402-853-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEISLER",
        "first_name": "AMBER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496220104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SCHAFFNER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.