Individual provider Active NPI

Amanda J Wolff, APRN

  • Nurse Practitioner
  • Neligh, NE
National Provider Identifier
1285273599
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
113064 Issued in NE
Practice address
102 W 9TH St
Neligh, NE 68756-1114
Phone
(402) 887-4151
NPI assigned
Jan 3, 2020
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 113064 NE Primary

Addresses

Primary practice location

102 W 9TH St
Neligh, NE 68756-1114

Mailing address

PO Box 229
Neligh, NE 68756-0229
Phone (402) 887-4151

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
I20200213001266 NE Practitioner - Nurse Practitioner 6305272204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

215 E Main St
FRPS Pierce Family Medicine
Pierce, NE 68767-0067
Phone (402) 329-4195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.09 of 100Reported as group
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
113064NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Jan 27, 2025 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

102 W 9th St
Neligh, NE 68756
Phone (402) 887-4151

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

215 E Main St
Pierce, NE 68767
Phone (402) 329-4195

Interoperability endpoints

  • Direct secure messaging: awolff@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1285273599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "NELIGH",
            "state": "NE",
            "postal_code": "687560229",
            "telephone_number": "402-887-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 9TH ST",
            "city": "NELIGH",
            "state": "NE",
            "postal_code": "687561114",
            "telephone_number": "402-887-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "113064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neligh, NE

Sources for this page

Verify at the official NPI Registry.