Individual provider Active NPI

Amy Stump, NP

  • Gerontology Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1093133654
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
111422 Issued in NE
Practice address
4111 4TH Avenue
Suite 50
Kearney, NE 68845
Phone
(308) 698-0581
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180810000550 NE Practitioner - Nurse Practitioner 8022366897 Reassigns benefits to 3 organizations

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
Schrock Medical Clinic PCGroup PAC ID 1052686466, 10 clinicians
Community Healthcare Partners NE LLCGroup PAC ID 7113323197, 28 clinicians

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

LicenseStateTypeSpecialty
111422NEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Partners NE LLC CurrentSince Dec 4, 2025 Accepting new patients
Brad Rodgers MD Family Practice & Sports Medicine CurrentSince Apr 22, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.