Amanda Jo Smith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

113927 Issued in NE

Practice address

1803 Papio LN
Cozad, NE 69130-1138

Phone

(308) 784-3535

Fax

(308) 784-3534

NPI assigned

Nov 13, 2021

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cozad Community HospitalGroup PAC ID 6507810389, shared by 6 NPIs, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cozad Community Hospital Hospital, Cozad, NE, CCN 281327

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Cozad Community Hospital

  • Rural Health Clinic/Center
  • Cozad, NE
  • NPI 1528159308
  Medicare reassignment NPD
• Cozad Community Hospital

  • Critical Access Hospital
  • Cozad, NE
  • NPI 1881632883
  Medicare reassignment NPD
• Nebraska House Call Physicians, P.C.

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1811931637
  Medicare reassignment NPD
• Cozad Community Hospital

  • Rural Health Clinic/Center
  • Eustis, NE
  • NPI 1598281016

  Family

  NPD
• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  NPD
• Cozad Community Hospital

  • Community Based Hospice Care Agency
  • Cozad, NE
  • NPI 1801838800
  NPD (past)

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

• Cozad Community Hospital

  • Critical Access Hospital
  • Cozad, NE
  • NPI 1881632883
  Care Compare affiliation

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

{
    "created_epoch": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1144986126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 PAPIO LN",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301138",
            "telephone_number": "308-784-3535",
            "fax_number": "308-784-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 PAPIO LN",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301138",
            "telephone_number": "308-784-3535",
            "fax_number": "308-784-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-13",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Sears
• Takia Shepherd
• Sera Shoemaker, RN
• Makynzi Ann Sisson
• Tricia Sitorius, RN
• Bryson Eli Smith
• Jacey Nicole Smith
• Karolyn Kay Snow Montoya
• Stephanie Grace Snyder
• South Central Developmental Services

• Family Nurse Practitioner in Cozad, NE
• Providers in Cozad, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.