Amanda M Thom, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

110737 Issued in NE

Practice address

208 S Burlington Ave Ste 108
Hastings, NE 68901

Phone

(402) 463-6300

Fax

(402) 834-0665

NPI assigned

Jul 14, 2006

Last updated

Jul 18, 2018By 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 identifiers 4

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

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hastings Convenient Care PCGroup PAC ID 8729119011, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Hastings Convenient Care PC

  • Urgent Care Clinic/Center
  • Hastings, NE
  • NPI 1710203054
  Medicare reassignment Care Compare group NPD

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

• The Mary Lanning Memorial Hospital Association

  dba Mary Lanning Healthcare Laboratory Services

  • Clinical Medical Laboratory
  • Hastings, NE
  • NPI 1205442258

  Hospital

  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  dba Mary Lanning Healthcare

  • Rural Acute Care Hospital
  • Hastings, NE
  • NPI 1831203488
  Care Compare affiliation

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1629094453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S BURLINGTON AVE STE 108",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015943",
            "telephone_number": "402-463-6300",
            "fax_number": "402-834-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S BURLINGTON AVE STE 108",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "68901",
            "telephone_number": "402-463-6300",
            "fax_number": "402-834-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "NE",
            "postal_code": "689591705",
            "country_code": "US",
            "telephone_number": "308-832-3400 x2100",
            "fax_number": "308-832-3416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOM",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONVENTRY",
            "identifier": "307062",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37907",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "248640",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39385",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Mary Lanning Memorial Hospital Association (MLMH Clinical Lab Services)
• Sara D. Theoharis, CRNA
• Kaitlin Thiebauth
• Courtney A Thiel
• Miranda L Thiel
• Adam Thompson, PA-C
• Katie Thompson, MD
• Melissa M Thompson, APRN
• Nathan F Thompson, D.D.S.
• April Marie Thomsen

• Family Nurse Practitioner in Hastings, NE
• Providers in Hastings, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.