Individual provider Active NPI

Amy S Mahar, PAC

  • Physician Assistant
  • North Platte, NE
National Provider Identifier
1750352480
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1066 Issued in NE
Practice address
611 W Francis St Ste 200
North Platte, NE 69101-0614
Phone
(308) 568-3500
Fax
(308) 534-4013
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1066 NE Primary

Addresses

Primary practice location

611 W Francis St Ste 200
North Platte, NE 69101-0614

Mailing address

1916 Avenue G
Gothenburg, NE 69138-1428
Phone (308) 529-2026

Other identifiers 1

IdentifierTypeStateIssuer
39188OtherNEBC/BS

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
I20040831000442 NE Practitioner - Physician Assistant 3476528787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

601 W Leota St
North Platte, NE 69101-6525

611 W Francis St
North Platte, NE 69101-0614

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1066NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Urgent Care LLC CurrentSince Dec 1, 2017 Accepting new patients
Twin Rivers Urgent Care LLC CurrentSince Dec 1, 2017 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Oct 19, 2020 Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients

Locations

720 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-2500

3203 Osborne Dr W
Ste 101
Hastings, NE 68901
Phone (308) 384-2500

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Organizations & group practices 4

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 6

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1750352480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 AVENUE G",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381428",
            "telephone_number": "308-529-2026",
            "fax_number": "308-534-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 200",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-568-3500",
            "fax_number": "308-534-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAR",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "39188",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.