Active NPI
Amy Proskovec, NP
- Adult Health Nurse Practitioner
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2232
- Practice address
- 3900 Pine Lake Rd # 5
Lincoln, NE 68516-5489 - Phone
- (402) 730-6870
- NPI assigned
- Oct 9, 2014
- Last updated
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2232 | NE | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 2232 | NE | |
| Hospice Registered Nurse | 163WH1000X | 68808 | NE |
Addresses
Primary practice location
3900 Pine Lake Rd # 5
Lincoln, NE 68516-5489
Mailing address
3900 Pine Lake Rd # 5
Lincoln, NE 68516-5489
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3900 Pine Lake Rd
Suite 5
Lincoln, NE 68516-5489
Phone (402) 730-6870
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.14 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 67.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68808 | NE | MD | Hospice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care B PC | Current | Accepting new patients | |
| Nebraska House Call Physicians, P.C. | Current | Accepting new patients | |
| Graceland Senior Living, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1811931637
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1194498808
-
dba Keystone Villas Senior Living
- Assisted Living Facility
- Omaha, NE
- NPI 1871982652
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Keystone Ridge Post Acute Nursing and Rehabilitation
- Skilled Nursing Facility
- Omaha, NE
- NPI 1689062861
Nursing home
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1053715730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 PINE LAKE RD # 5",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 PINE LAKE RD # 5",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165489",
"telephone_number": "402-730-6870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSKOVEC",
"first_name": "AMY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NE",
"license": "2232",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NE",
"license": "2232",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "NE",
"license": "68808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.