Individual provider Active NPI

Amber L Van Dyke, APRN

  • Neonatal Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1053624767
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
111152 Issued in NE
Practice address
987740 Nebraska Medical Ctr
Neonatal Intensive Care Unit
Omaha, NE 68198-7740
Phone
(402) 559-4442
Fax
(402) 559-8685
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 111152 NE Primary

Addresses

Primary practice location

987740 Nebraska Medical Ctr
Neonatal Intensive Care Unit
Omaha, NE 68198-7740

Mailing address

2106 Diane St
Papillion, NE 68046-8024
Phone (402) 321-0080

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
I20110616000697 NE Practitioner - Nurse Practitioner 3577741784 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital CurrentSince Apr 30, 2025 Accepting new patients
Unmc Physicians CurrentSince Mar 25, 2017 Accepting new patients

Locations

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

987400 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-3405

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Interoperability endpoints

  • Direct secure messaging: avandyke49415@direct.nebraskamed.com

Organizations & group practices 2

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1053624767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DIANE ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680468024",
            "telephone_number": "402-321-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987740 NEBRASKA MEDICAL CTR",
            "address_2": "NEONATAL INTENSIVE CARE UNIT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681987740",
            "telephone_number": "402-559-4442",
            "fax_number": "402-559-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NE",
            "license": "111152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.