Amanda Lou Young, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1183 Issued in NE

Practice address

575 S 70TH St
Nebraska Orthopaedic and Sports Medicine P.C. Suite 200
Lincoln, NE 68510-2471

Phone

(402) 488-3322

Fax

(402) 488-1172

NPI assigned

May 11, 2006

Last updated

Sep 29, 2008By 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

Other names 1

• Miss Amanda Lou Petersen Former name

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nebraska Orthopaedic Center PCGroup PAC ID 2567432461, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lincoln Surgical Hospital Hospital, Lincoln, NE, CCN 280127

Merit-based Incentive Payment System (MIPS)

Final score

87.8 of 100Reported as group

Quality

89.76

Promoting interoperability

99

Improvement activities

40

Cost

70.41

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.young.1@32860.direct.athenahealth.com

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.

• Nebraska Orthopaedic Center PC

  dba Nebraska Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Lincoln, NE
  • NPI 1659349330

  Surgical

  Medicare reassignment Care Compare group NPD

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

• Lincoln Surgery Center LLC

  • Special Hospital
  • Lincoln, NE
  • NPI 1306849005
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1245280189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S 70TH ST",
            "address_2": "NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C. SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102471",
            "telephone_number": "402-488-3322",
            "fax_number": "402-488-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 70TH ST",
            "address_2": "NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C. SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102471",
            "telephone_number": "402-488-3322",
            "fax_number": "402-488-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AMANDA",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PETERSEN",
            "middle_name": "LOU",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Yost
• Ryan Yost
• Corrine Louise Young-Sutliff
• A'Magine Young
• Adam Michael Young
• Anna Young
• Aubrey Young
• Austin Victor Young, PA-C
• Brittany Young
• Clifton C Young II

• Surgical Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Surgical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.