Individual provider Active NPI

Amy Marie Yager, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1396996948
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
110620 Issued in NE
Practice address
11725 Arbor St Ste 230
Omaha, NE 68144-2974
Phone
(402) 979-7128
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 110620 NE Primary

Addresses

Primary practice location

11725 Arbor St Ste 230
Omaha, NE 68144-2974

Mailing address

5061 Blondo St
Omaha, NE 68104-4356
Phone (402) 598-2708

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
I20210218002077 NE Practitioner - Nurse Practitioner 6507271889 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yager Wholistic Psychiatric Services, PC Current Accepting new patients
Ven Whole Healthcare LLC CurrentSince Dec 1, 2021 Accepting new patients
Omaha Insomnia and Psychiatric Services, LLC CurrentSince Nov 1, 2021 Accepting new patients
Omaha Insomnia and Psychiatric Services, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

13917 Gold Cir
Omaha, NE 68144
Phone (402) 991-9630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1396996948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044356",
            "telephone_number": "402-598-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 ARBOR ST STE 230",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442974",
            "telephone_number": "402-979-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.