Amelia Shane McCumber, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1980 Issued in NE

Practice address

418 E 5TH St
Pob 403
Atkinson, NE 68713-4885

Phone

(402) 925-2994

Fax

(402) 924-3996

NPI assigned

Jan 20, 2016

Last updated

Feb 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Sandhills Family Healthcare PCGroup PAC ID 4587757661, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Holt Memorial Hospital Hospital, Atkinson, NE, CCN 281343
• Rock County Hospital Hospital, Bassett, NE, CCN 281333

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Greater Sandhills Family Healthcare, P.C.

  • Rural Health Clinic/Center
  • Stuart, NE
  • NPI 1033318217
  Medicare reassignment Care Compare group
• West Holt Memorial Hospital

  dba West Holt Medical Clinic

  • General Practice Physician
  • Atkinson, NE
  • NPI 1366492472
  Medicare reassignment NPD
• West Holt Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Atkinson, NE
  • NPI 1922173061
  Medicare reassignment NPD
• West Holt Memorial Hospital

  • Critical Access Hospital
  • Atkinson, NE
  • NPI 1295785442
  Medicare reassignment
• Greater Sandhills Family Healthcare, PC

  • Family Medicine Physician
  • Bassett, NE
  • NPI 1295920981

  Physician Assistant

  NPD
• Greater Sandhills Family Healthcare, PC

  • Family Medicine Physician
  • Atkinson, NE
  • NPI 1902091671
  NPD
• West Holt Memorial Hospital

  dba West Holt Pharmacy

  • Community/Retail Pharmacy
  • Atkinson, NE
  • NPI 1811913767
  NPD
• Greater Sandhills Family Healthcare, P.C.

  • Rural Health Clinic/Center
  • Stuart, NE
  • NPI 1467652263
  NPD (past)

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

• Rock County Hospital

  • Critical Access Hospital
  • Bassett, NE
  • NPI 1710982194
  Care Compare affiliation
• West Holt Memorial Hospital

  • Critical Access Hospital
  • Atkinson, NE
  • NPI 1295785442
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1124485321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800070",
            "telephone_number": "402-924-3777",
            "fax_number": "402-924-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E 5TH ST",
            "address_2": "POB 403",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134885",
            "telephone_number": "402-925-2994",
            "fax_number": "402-924-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUMBER",
        "first_name": "AMELIA",
        "middle_name": "SHANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam J Ketteler, O.D.
• James Francis Kubart
• Pamela Kay Kubart
• Jordan Edward Kunz, MD
• Cindy Laetsch
• Katie Miller
• Shannon T Morrison
• Sara Ellen Paxton, PHARMD
• Linda Lou Price, RN
• Robert A Randall, M.D.

• Physician Assistant in Atkinson, NE
• Providers in Atkinson, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.

Verify at the official NPI Registry.