Individual provider Active NPI

Amy Kathryn Collingham, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1215679303
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114226 Issued in NE
Practice address
5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone
(402) 489-8888
Fax
(402) 421-1945
NPI assigned
Apr 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114226 NE Primary

Addresses

Primary practice location

5500 Pine Lake Rd
Lincoln, NE 68516-3389

Mailing address

5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone (402) 489-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.collingham.d1.p1@direct.upc.nextgenshare.com

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
I20220618000172 NE Practitioner - Nurse Practitioner 6204215411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Urology PCGroup PAC ID 1951372937, 21 clinicians

Practice addresses (Care Compare)

5500 Pine Lake Rd
Lincoln, NE 68516-3389
Phone (402) 489-8888

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • CHI Health Nebraska Heart Hospital, Lincoln, NE, CCN 280128
  • Crete Area Medical Center Hospital, Crete, NE, CCN 281354
  • York General Health Care Services Hospital, York, NE, CCN 281336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114226NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Urology PC CurrentSince Jun 16, 2022 Accepting new patients
Urology Surgical Center LLC Past Accepting new patients

Locations

5500 Pine Lake Rd
Lincoln, NE 68516
Phone (402) 489-8888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1215679303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163389",
            "telephone_number": "402-489-8888",
            "fax_number": "402-421-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163389",
            "telephone_number": "402-489-8888",
            "fax_number": "402-421-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINGHAM",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.collingham.d1.p1@direct.upc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "5500 Pine Lake Rd",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685163389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.