Individual provider Active NPI

Amy J Tegels, APRN

  • Family Nurse Practitioner
  • Plattsmouth, NE
National Provider Identifier
1023213162
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110895 Issued in NE
Practice address
211 S 23Rd St
Plattsmouth, NE 68048-2903
Phone
(402) 298-4347
Fax
(402) 298-4349
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-117058 IA
Family Nurse Practitioner 363LF0000X 110895 NE Primary

Addresses

Primary practice location

211 S 23Rd St
Plattsmouth, NE 68048-2903

Mailing address

211 S 23Rd St
Plattsmouth, NE 68048-2903
Phone (402) 298-4347

Other identifiers 1

IdentifierTypeStateIssuer
24388OtherNEBCBS

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000423 NE Practitioner - Nurse Practitioner 8426120502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and J Industries LLCGroup PAC ID 0042463341, 2 clinicians

Practice addresses (Care Compare)

211 S 23Rd St
Plattsmouth, NE 68048-2903

2302 8TH Ave
Plattsmouth, NE 68048-2365
Phone (402) 298-4347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
A-117058IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A & J Industries LLC Family CurrentSince Nov 30, 2012 Accepting new patients
Pine Lake Health LLC Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
Alegent Health Quick Care LLC Past Accepting new patients
Pine Lake Health LLC Past Accepting new patients

Locations

2302 8th Ave
Ste 4
Plattsmouth, NE 68048
Phone (402) 298-4347

211 S 23rd St
Plattsmouth, NE 68048
Phone (402) 296-5100

Interoperability endpoints

  • Direct secure messaging: absolutehealthcareurgentcare.amytegels@130178.advancedmd-direct.com

Organizations & group practices 5

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1023213162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S 23RD ST",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482903",
            "telephone_number": "402-298-4347",
            "fax_number": "402-298-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S 23RD ST",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482903",
            "telephone_number": "402-298-4347",
            "fax_number": "402-298-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGELS",
        "first_name": "AMY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-117058",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24388",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsmouth, NE

Sources for this page

Verify at the official NPI Registry.