Active NPI
Amy Stump, NP
- Gerontology Nurse Practitioner
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 111422
- Practice address
- 4111 4TH Avenue
Suite 50
Kearney, NE 68845 - Phone
- (308) 698-0581
- NPI assigned
- Apr 1, 2014
- Last updated
- Apr 1, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 111422 | NE | Primary |
Addresses
Primary practice location
4111 4TH Avenue
Suite 50
Kearney, NE 68845
Mailing address
4111 4TH Ave
Suite 50
Kearney, NE 68845-2878
Phone (308) 698-0581
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
- University of Nebraska College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1616 W 39TH St
Suite a
Kearney, NE 68845-2922
Phone (308) 236-6499
3901 Faulkner Dr
Lincoln, NE 68516-4738
Phone (402) 858-4044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111422 | NE | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Healthcare Partners NE LLC | Current | Accepting new patients | |
| Brad Rodgers MD Family Practice & Sports Medicine | Current | Accepting new patients |
Locations
102 3rd Ave
Ste A
Kearney, NE 68845
Phone (308) 237-2273
3901 Faulkner Dr
Lincoln, NE 68516
Phone (402) 464-2422
200 N Bryant Ave
Ste 10
Edmond, OK 73034
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDJECD
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.
-
- Primary Care Clinic/Center
- Lincoln, NE
- NPI 1588242929
-
- General Practice Physician
- Kearney, NE
- NPI 1639691355
-
- Family Medicine Physician
- Kearney, NE
- NPI 1861941999
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Columbus Community Hospital
- General Acute Care Hospital
- Columbus, NE
- NPI 1760589295
-
dba CHI Health Richard Young Behavioral Health
- Psychiatric Hospital Unit
- Kearney, NE
- NPI 1114942869
-
dba CHI Health Good Samaritan
- General Acute Care Hospital
- Kearney, NE
- NPI 1336184019
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1558910604
-
dba Memorial Hospital
- Critical Access Hospital
- Aurora, NE
- NPI 1063429694
-
dba CHI Health St. Francis
- General Acute Care Hospital
- Grand Island, NE
- NPI 1982675955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1093133654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 4TH AVE",
"address_2": "SUITE 50",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452878",
"telephone_number": "308-698-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 4TH AVENUE",
"address_2": "SUITE 50",
"city": "KEARNEY",
"state": "NE",
"postal_code": "68845",
"telephone_number": "308-698-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NE",
"license": "111422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.