Individual provider Active NPI

Amanda Jo Sumner, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harlan, IA
National Provider Identifier
1821621822
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G176429 Issued in IA
Practice address
1110 Morningview Dr
Harlan, IA 51537-2013
Phone
(712) 755-5056
Fax
(712) 755-7143
NPI assigned
Feb 18, 2020
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113902 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G176429 IA Primary
Family Nurse Practitioner 363LF0000X A166219 IA

Addresses

Primary practice location

1110 Morningview Dr
Harlan, IA 51537-2013

Mailing address

1110 Morningview Dr
Harlan, IA 51537-2013
Phone (712) 755-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220817002954 IA Practitioner - Nurse Practitioner 3476968165 Reassigns benefits to 3 organizations
I20250703000447 NE Practitioner - Nurse Practitioner 3476968165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Partners NE LLCGroup PAC ID 7113323197, 28 clinicians

Practice addresses (Care Compare)

3901 Faulkner Dr
Lincoln, NE 68516-4738
Phone (402) 858-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G176429IAMDPsychiatric/Mental Health Nurse Practitioner
113902NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Partners NE LLC CurrentSince Jun 24, 2025 Accepting new patients
Shelby County Chris a Myrtue Memorial Hospital Current Accepting new patients
Family Connections, Inc CurrentSince Aug 1, 2022 Accepting new patients
Shelby County Chris a. Myrtue Memorial Hospital Psychiatric/Mental Health CurrentSince Sep 5, 2023 Accepting new patients
Shelby County Chris a. Myrtue Memorial Hospital Psychiatric/Mental Health CurrentSince Sep 5, 2023 Accepting new patients

Locations

1720 N 16th St
Ste K
Council Bluffs, IA 51501
Phone (712) 256-4420

1110 Morningview Dr
Harlan, IA 51537
Phone (712) 755-5056

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

3901 Faulkner Dr
Lincoln, NE 68516
Phone (402) 464-2422

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDJECD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1821621822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MORNINGVIEW DR",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372013",
            "telephone_number": "712-755-5056",
            "fax_number": "712-755-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MORNINGVIEW DR",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372013",
            "telephone_number": "712-755-5056",
            "fax_number": "712-755-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113902",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G176429",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A166219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

Verify at the official NPI Registry.