Individual provider Active NPI

Amanda Jo Buskevicius, M.D.

  • Obstetrics & Gynecology Physician
  • Gretna, NE
National Provider Identifier
1336450899
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
27851 Issued in NE
Practice address
11946 Standing Stone Dr
Gretna, NE 68028-8094
Phone
(402) 815-4500
Fax
(402) 815-4510
NPI assigned
Jun 29, 2010
Last updated
Mar 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6350 NE
Obstetrics & Gynecology Physician 207V00000X 27851 NE Primary

Addresses

Primary practice location

11946 Standing Stone Dr
Gretna, NE 68028-8094

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other identifiers 4

IdentifierTypeStateIssuer
10026301600MedicaidNE
10026480100MedicaidNE
1336450899MedicaidIA
47068731799MedicaidNE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140616000831 NE Practitioner - Obstetrics/Gynecology 0840414702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570

11946 Standing Stone Dr
Gretna, NE 68028-8094
Phone (402) 815-4500

4932 S 202ND Ave
MPC North Streams
Omaha, NE 68135-3927
Phone (402) 815-7500

717 N 190TH PLZ
Suite 1100
Elkhorn, NE 68022-3917
Phone (402) 815-1700

8901 W Dodge Rd
Omaha, NE 68114-3327
Phone (402) 390-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27851NEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Nebraska Methodist Hospital Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
Physicians Clinic Inc Obstetrics & Gynecology CurrentSince Feb 28, 2016 Accepting new patients
Physicians Clinic Inc PastSince Nov 18, 2025 Accepting new patients

Locations

717 N 190th Plz
Ste 1100
Elkhorn, NE 68022
Phone (402) 815-1700

11946 Standing Stone Dr
Gretna, NE 68028
Phone (402) 815-4500

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

208 S 26th Ave
Omaha, NE 68131
Phone (402) 354-3198

4932 S 202nd Ave
Omaha, NE 68135
Phone (402) 815-7500

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

8901 W Dodge Rd
Ste 200B
Omaha, NE 68114
Phone (402) 354-1700

Interoperability endpoints

  • Direct secure messaging: amanda.buskevicius@direct.nmhs.org

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 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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1336450899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11946 STANDING STONE DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680288094",
            "telephone_number": "402-815-4500",
            "fax_number": "402-815-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKEVICIUS",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "6350",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "27851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026301600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026480100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336450899",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068731799",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

Verify at the official NPI Registry.