Individual provider Active NPI

Amanda L Bickle, ARNP

  • Family Medicine Physician
  • Hays, KS
National Provider Identifier
1083810469
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46045 Issued in KS
Practice address
105 W 13TH
Hays, KS 67601-3082
Phone
(785) 621-4990
NPI assigned
Jun 22, 2007
Last updated
Aug 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46045 KS Primary

Addresses

Primary practice location

105 W 13TH
Hays, KS 67601-3082

Mailing address

3306 Hillcrest Dr
Hays, KS 67601-1530
Phone (785) 621-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20071018000639 KS Practitioner - Nurse Practitioner 3072609239 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
Ukhs Great Bend LLCGroup PAC ID 5597016378, 64 clinicians

Practice addresses (Care Compare)

514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ukhs Great Bend, LLC Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Mid-America Cardiology Associates, Inc. Past Accepting new patients

Locations

514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890

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, 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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1083810469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 HILLCREST DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011530",
            "telephone_number": "785-621-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 13TH",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013082",
            "telephone_number": "785-621-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLE",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "46045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.