Amanda Haug, APRN
Individual provider Active NPI Nurse Practitioner · Abilene, KS
NPI 1124618533 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1124618533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-79896 (KS)
- Practice address
- 108 NW 3Rd St
Abilene, KS 67410-2629 - Phone
- (785) 498-8558
- Fax
- (785) 498-1444
- NPI assigned
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79896 | KS | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-79896 | KS | Yes |
Addresses
Primary practice location
108 NW 3Rd St
Abilene, KS 67410-2629
Mailing address
108 NW 3Rd St
Abilene, KS 67410-2629
Phone (785) 498-8558
Other providers in Abilene, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.