Individual provider Active NPI

Amanda S Butler, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkhorn, NE
National Provider Identifier
1659960052
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
113493 Issued in NE
Practice address
20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552
Phone
(402) 933-5700
Fax
(402) 933-9998
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113493 NE Primary

Addresses

Primary practice location

20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552

Mailing address

20324 Veterans Dr Ste 104
Elkhorn, NE 68022-3552
Phone (402) 933-5700

Other practice location 1

7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2916

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
I20210225001258 NE Practitioner - Nurse Practitioner 7214342294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Psychiatry LLCGroup PAC ID 8325478126, 4 clinicians

Practice addresses (Care Compare)

20324 Veterans Dr
Suite 104
Elkhorn, NE 68022-3552
Phone (402) 933-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113493NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychiatry, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

20324 Veterans Dr
Ste 104
Elkhorn, NE 68022
Phone (402) 933-5700

Organizations & group practices 1

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1659960052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20324 VETERANS DR STE 104",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223552",
            "telephone_number": "402-933-5700",
            "fax_number": "402-933-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20324 VETERANS DR STE 104",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223552",
            "telephone_number": "402-933-5700",
            "fax_number": "402-933-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Newport Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681522164",
            "country_code": "US",
            "telephone_number": "402-572-2916",
            "fax_number": "402-572-2528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "AMANDA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.