Individual provider Active NPI

Amy Proskovec, NP

  • Adult Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1053715730
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2232 Issued in NE
Practice address
3900 Pine Lake Rd # 5
Lincoln, NE 68516-5489
Phone
(402) 730-6870
NPI assigned
Oct 9, 2014
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928002647 NE Practitioner - Nurse Practitioner 8628454634 Reassigns benefits to 2 organizations

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
Value Based Long Term Care B PCGroup PAC ID 4082017884, 28 clinicians
Nebraska House Call Physicians PCGroup PAC ID 7517911555, 23 clinicians

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 100Reported as individual
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

LicenseStateTypeSpecialty
68808NEMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care B PC CurrentSince Apr 14, 2025 Accepting new patients
Nebraska House Call Physicians, P.C. CurrentSince Oct 1, 2022 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.