NPIMap

Individual provider Active NPI

Amanda Louise Ensz, MD

  • Internal Medicine Physician
  • Auburn, NE
National Provider Identifier
1164840286
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31864 Issued in NE
Practice address
2115 14TH St Ste 100
Auburn, NE 68305-1760
Phone
(402) 274-4993
Fax
(402) 274-4905
NPI assigned
Apr 4, 2014
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 65081 WI
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 31864 NE Primary

Addresses

Primary practice location

2115 14TH St Ste 100
Auburn, NE 68305-1760

Mailing address

2115 14TH St Ste 100
Auburn, NE 68305-1760
Phone (402) 274-4993

Other names 1

  • Amanda Louise Swanson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171013000572 WI Practitioner - Internal Medicine 6002183159 Reassigns benefits to 1 organization
I20191025000797 NE Practitioner - Internal Medicine 6002183159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Family Health Center PCGroup PAC ID 4385749191, 14 clinicians

Practice addresses (Care Compare)

2115 14TH St
Suite 100
Auburn, NE 68305-1760
Phone (402) 274-4993

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31864NEMDInternal Medicine Physician
65081WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 22, 2017 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Internal Medicine CurrentSince Aug 22, 2017 Accepting new patients
Auburn Family Health Center PC Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

2115 14th St
Ste 100
Auburn, NE 68305
Phone (402) 274-4993

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

W126N7338 Flint Dr
Ste 200
Menomonee Falls, WI 53051

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 4

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 5

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": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1164840286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 14TH ST STE 100",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683051760",
            "telephone_number": "402-274-4993",
            "fax_number": "402-274-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 14TH ST STE 100",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683051760",
            "telephone_number": "402-274-4993",
            "fax_number": "402-274-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSZ",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "65081",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "31864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SWANSON",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, NE

Sources for this page

Verify at the official NPI Registry.