Individual provider Active NPI

Amber Joy Hansen, P.A.

  • Medical Physician Assistant
  • Tekamah, NE
National Provider Identifier
1073852059
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1708 Issued in NE
Practice address
1121 S 13TH St
Tekamah, NE 68061-1806
Phone
(402) 685-6090
Fax
(402) 808-4808
NPI assigned
Feb 11, 2013
Last updated
Aug 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1708 NE Primary

Addresses

Primary practice location

1121 S 13TH St
Tekamah, NE 68061-1806

Mailing address

1121 S 13TH St
Tekamah, NE 68061-1806
Phone (402) 685-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220601001259 TX Practitioner - Physician Assistant 9537304548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians

Practice addresses (Care Compare)

225 Bluff St
Winnebago, NE 68071-9703
Phone (402) 878-3554

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1708NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Tribe of Nebraska CurrentSince Jan 7, 2022 Accepting new patients
Elkhorn Logan Valley Public Health Department Past Accepting new patients
Winnebago Tribe of Nebraska Past Accepting new patients

Locations

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1073852059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S 13TH ST",
            "city": "TEKAMAH",
            "state": "NE",
            "postal_code": "680611806",
            "telephone_number": "402-685-6090",
            "fax_number": "402-808-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S 13TH ST",
            "city": "TEKAMAH",
            "state": "NE",
            "postal_code": "680611806",
            "telephone_number": "402-685-6090",
            "fax_number": "402-808-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "AMBER",
        "middle_name": "JOY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tekamah, NE

Sources for this page

Verify at the official NPI Registry.