Amanda Kay Dykes, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Douglas, WY
NPI 1902447477 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1902447477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 44725 (WY)
- Practice address
- 111 S 5TH St
Douglas, WY 82633 - Phone
- (307) 358-7300
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital of Converse County
Practice addresses (Care Compare)
700 E Ctr St
Douglas, WY 82633-2446
Phone (307) 358-7300
Hospital & facility affiliations
- Memorial Hospital of Converse County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200103001902 | WY | Practitioner - Nurse Practitioner | 9032543749 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Converse County | Current |
Accepting new patients | |
| Memorial Hospital of Converse County | Current |
Accepting new patients |
Locations
700 E Center St
Douglas, WY 82633
Phone (307) 352-8946
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 44725 | WY | Yes |
Addresses
Primary practice location
111 S 5TH St
Douglas, WY 82633
Mailing address
623 Harrison St
Douglas, WY 82633-2739
Phone (307) 338-0273
Other practice location 1
700 E Center St
Douglas, WY 82633
Phone (307) 358-7300
Other names
- Dr. Amanda Kay Dykes
Other providers in Douglas, WY
- Barbara Gayle Dillard/Simms
- Douglas Care Center, LLC
- Douglas Care Center, LLC
- Douglas Med Spa LLC
- Douglas Medical Skincare & Health Clinic
- Nathaniel John Eakins
- Megan East
- Ediss Chiropractic, Inc
- Stephan Paul Ediss
- Rita Marie Emch
All providers in Douglas, WY · Family Nurse Practitioner in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.