Active NPI
Amy J Farlee, P.A.
- Physician Assistant
- Kearney, NE
National Provider Identifier
1831216936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1313
- Practice address
- 10 E 31St St
Kearney, NE 68847-2908 - Phone
- (308) 865-7555
- Fax
- (308) 865-2909
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1313 | NE | Primary |
Addresses
Primary practice location
10 E 31St St
Kearney, NE 68847-2908
Mailing address
3610 Richmond Cir Ste 100
Grand Island, NE 68803-3910
Phone (308) 398-6400
Other names 1
- Amy J Wiseman
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1313 | NE | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Clinic, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/texasco-757f88e4
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 and National Provider Directory roles.
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- Diagnostic Radiology Physician
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- NPI 1427089838
-
- Diagnostic Radiology Physician
- Grand Island, NE
- NPI 1164677126
-
- Family Medicine Physician
- Holdrege, NE
- NPI 1760429179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1831216936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 RICHMOND CIR STE 100",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033910",
"telephone_number": "308-398-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E 31ST ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472908",
"telephone_number": "308-865-7555",
"fax_number": "308-865-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEE",
"first_name": "AMY",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2024-05-20",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "1313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "WISEMAN",
"middle_name": "J",
"credential": "P.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.