Individual provider Active NPI

Amanda Coleman, CRNA

  • Certified Registered Nurse Anesthetist
  • Lincoln, NE
National Provider Identifier
1912351552
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101352 Issued in NE
Practice address
6911 Van Dorn St
Suite # 2
Lincoln, NE 68506-6801
Phone
(402) 489-4186
Fax
(402) 489-5279
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 69545 NE
Certified Registered Nurse Anesthetist 367500000X 101352 NE Primary

Addresses

Primary practice location

6911 Van Dorn St
Suite # 2
Lincoln, NE 68506-6801

Mailing address

6911 Van Dorn St
Suite # 2
Lincoln, NE 68506-6801
Phone (402) 489-4186

Other names 1

  • Amanda Bohac Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525001456 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476842832 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Specialties PCGroup PAC ID 5991696775, 51 clinicians
Nebraska Pain Institute LLCGroup PAC ID 8628323623, 10 clinicians

Practice addresses (Care Compare)

4545 R St
Suite 100
Lincoln, NE 68503-3799
Phone (402) 465-4545

7350 Willowbrook LN
Lincoln, NE 68516-7781
Phone (402) 488-7246

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
69545NEMDRegistered Nurse
101352NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Imaging, LLC CurrentSince Mar 26, 2024 Accepting new patients
Gastroenterology Specialties, P.C. CurrentSince Dec 1, 2024 Accepting new patients
Nebraska Pain Institute, LLC CurrentSince Mar 1, 2024 Accepting new patients
Lincoln Digestive Health Center LLC PastSince Dec 1, 2024 Accepting new patients
Butler County Health Care Center Past Accepting new patients
Npi Surgery Center LLC PastSince Mar 1, 2024 Accepting new patients

Locations

4545 R St
Ste 100
Lincoln, NE 68503
Phone (402) 465-4545

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

7350 Willowbrook Ln
Lincoln, NE 68516
Phone (402) 488-7246

7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475

7555 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 261-1085

Interoperability endpoints

  • FHIR API: https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 7

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1912351552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 VAN DORN ST",
            "address_2": "SUITE # 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066801",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 VAN DORN ST",
            "address_2": "SUITE # 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066801",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "AMANDA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "69545",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BOHAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.