Individual provider Active NPI

Amanda M Rowan, CRNA

  • Certified Registered Nurse Anesthetist
  • Council Bluffs, IA
National Provider Identifier
1649613308
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101215 Issued in NE
Practice address
933 E Pierce St
Council Bluffs, IA 51503-4626
Phone
(712) 396-6000
Fax
(712) 322-5566
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101215 NE Primary

Addresses

Primary practice location

933 E Pierce St
Council Bluffs, IA 51503-4626

Mailing address

300 W Broadway
Suite 31
Council Bluffs, IA 51503-9078
Phone (712) 322-5565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150224000801 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941526677 Reassigns benefits to 1 organization
I20240214001539 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941526677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leighow Anesthesia and Medical Aesthetics LLCGroup PAC ID 5597086744, 14 clinicians

Practice addresses (Care Compare)

11606 Nicholas St
Omaha, NE 68154-4478
Phone (402) 493-2020

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
101215NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Edmundson Memorial Hospital CurrentSince Dec 31, 2023 Accepting new patients
Leighow Anesthesia & Medical Aesthetics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients

Locations

201 Ridge St
Ste 102
Council Bluffs, IA 51503
Phone (712) 396-4359

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

2727 N Clarkson St
Fremont, NE 68025
Phone (402) 727-8500

1710 S 70th St
Lincoln, NE 68506
Phone (402) 484-9090

4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010

11819 Miracle Hills Dr
Ste 201
Omaha, NE 68154
Phone (402) 884-2450

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

9850 Nicholas St
Omaha, NE 68114
Phone (402) 343-1122

11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020

11704 W Center Rd
Ste 110
Omaha, NE 68144
Phone (402) 212-0847

535 Fortune Dr
Ste 200
Papillion, NE 68046
Phone (402) 934-8040

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 and National Provider Directory roles.

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1649613308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY",
            "address_2": "SUITE 31",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515039078",
            "telephone_number": "712-322-5565",
            "fax_number": "712-322-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034626",
            "telephone_number": "712-396-6000",
            "fax_number": "712-322-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWAN",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.