Active NPI
Amanda J Lynn, PA-C
- Physician Assistant
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2491
- Practice address
- Emile @ 42ND
Omaha, NE 68198-0001 - Phone
- (025) 594-4424
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 666 | NE | |
| Medical Physician Assistant | 363AM0700X | 2491 | NE | |
| Physician Assistant | 363A00000X | 2491 | NE | Primary |
Addresses
Primary practice location
Emile @ 42ND
Omaha, NE 68198-0001
Mailing address
825 S. 169TH St.
3Rd Floor - South
Omaha, NE 68118
Phone (402) 354-4822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Edmundson PL
Council Bluffs, IA 51503-4658
Phone (712) 396-4000
10060 Regency Cir
Omaha, NE 68114-3732
Phone (402) 354-1570
11946 Standing Stone Dr
Gretna, NE 68028-8094
Phone (402) 815-4500
201 Ridge St
Council Bluffs, IA 51503-4643
717 N 190TH PLZ
Suite 1100
Elkhorn, NE 68022-3917
Phone (402) 815-1700
808 E Pierce St
Methodist Physicians Clinic
Council Bluffs, IA 51503-4652
Phone (712) 396-4360
Hospital & facility affiliations
- Angels Care Home Health of Iowa
- Methodist Jennie Edmundson
- The Nebraska Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 666 | NE | MD | Physical Therapy Assistant |
| 2491 | NE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic Inc | Multi-Specialty | Current | Accepting new patients |
| Nebraska Pediatric Practice, Inc | Multi-Specialty | Past | Accepting new patients |
| Uno Athletic Training Services | Athletic Trainer | Past | Accepting new patients |
Locations
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
Interoperability endpoints
- amanda.lynn@direct.nmhs.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Athletic Trainer
- Omaha, NE
- NPI 1215122882
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Home Health Agency
- Council Bluffs, IA
- NPI 1902805039
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1578956371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S. 169TH ST.",
"address_2": "3RD FLOOR - SOUTH",
"city": "OMAHA",
"state": "NE",
"postal_code": "68118",
"telephone_number": "402-354-4822",
"fax_number": "402-354-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMILE @ 42ND",
"city": "OMAHA",
"state": "NE",
"postal_code": "681980001",
"telephone_number": "025-594-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "AMANDA",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "666",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "2491",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.