Individual provider Active NPI

Amy Rae Barker, M.D.

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1861604209
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
TEP # 5290 Issued in NE
Practice address
3528 Dodge St
Omaha, NE 68131-3202
Phone
(402) 345-8828
Fax
(402) 345-8815
NPI assigned
May 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TEP # 5290 NE Primary

Addresses

Primary practice location

3528 Dodge St
Omaha, NE 68131-3202

Mailing address

5015 Western Ave
Omaha, NE 68132-1465
Phone (402) 553-5269

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000914 NE Practitioner - Psychiatry 4789708843 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TEP # 5290NEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nebraska Dept of Admin Services Current Accepting new patients
State of Nebraska Dept of Admin Services CurrentSince May 8, 2021 Accepting new patients
State of Nebraska Dept of Admin Services CurrentSince May 8, 2021 Accepting new patients
Fillmore County Hospital Psychiatry CurrentSince Mar 16, 2020 Accepting new patients

Locations

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

801 W Prospector Pl
Lincoln, NE 68522
Phone (402) 471-2654

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.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861604209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 WESTERN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681321465",
            "telephone_number": "402-553-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313202",
            "telephone_number": "402-345-8828",
            "fax_number": "402-345-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "AMY",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "TEP # 5290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.