Active NPI
Amanda Duxbury, M.D.
- Family Medicine Physician
- Blair, NE
National Provider Identifier
1689010035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33716
- Practice address
- 812 N 22ND St
Blair, NE 68008-1128 - Phone
- (402) 426-4611
- Fax
- (402) 426-4642
- NPI assigned
- May 13, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10374 | SD | |
| Family Medicine Physician | 207Q00000X | DR.0055580 | CO | |
| Family Medicine Physician | 207Q00000X | 33716 | NE | Primary |
Addresses
Primary practice location
812 N 22ND St
Blair, NE 68008-1128
Mailing address
PO Box 250
Blair, NE 68008-0250
Phone (402) 426-4611
Other practice location 1
20 S Plum St
Vermillion, SD 57069
Phone (605) 677-3700
Other practice location 2
20 S Plum St
Vermillion, SD 57069
Phone (605) 677-3700
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713002257 | NE | Practitioner - Family Practice | 4082833694 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Community Hospital Corporation
Practice addresses (Care Compare)
3519 Hwy 32
Tekamah, NE 68061-5095
Phone (402) 374-1585
810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-2182
812 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-4611
Hospital & facility affiliations
- Memorial Community Hospital & Health System
- CHI Health Bergan Mercy
- Crowell Memorial Home
- Good Shepherd Lutheran Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33716 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Community Hospital Corporation | Family Medicine | Current | Accepting new patients |
| Memorial Community Hospital Corporation | Single Specialty | Current | Accepting new patients |
Locations
810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116
812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Blair, NE
- NPI 1265408819
NE, Single Specialty
-
- Rural Health Clinic/Center
- Fort Calhoun, NE
- NPI 1417015207
-
- Medicare Defined Swing Bed Hospital Unit
- Blair, NE
- NPI 1548391709
-
- Rural Health Clinic/Center
- Blair, NE
- NPI 1922166453
-
- Rural Health Clinic/Center
- Tekamah, NE
- NPI 1952487589
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
Hospital
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1689010035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "BLAIR",
"state": "NE",
"postal_code": "680080250",
"telephone_number": "402-426-4611",
"fax_number": "402-426-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 N 22ND ST",
"city": "BLAIR",
"state": "NE",
"postal_code": "680081128",
"telephone_number": "402-426-4611",
"fax_number": "402-426-4642"
}
],
"practiceLocations": [
{
"address_1": "20 S Plum St",
"address_purpose": "LOCATION",
"city": "Vermillion",
"state": "SD",
"postal_code": "57069",
"country_code": "US",
"telephone_number": "605-677-3700",
"fax_number": "605-677-3701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 S Plum St",
"address_purpose": "LOCATION",
"city": "Vermillion",
"state": "SD",
"postal_code": "57069",
"country_code": "US",
"telephone_number": "605-677-3700",
"fax_number": "605-677-3701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUXBURY",
"first_name": "AMANDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "10374",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0055580",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NE",
"license": "33716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blair, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.