Individual provider Active NPI

Amanda Grace Green, PA

  • Medical Physician Assistant
  • Lincoln, NE
National Provider Identifier
1952238255
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1500 S 48TH St Ste 800
Lincoln, NE 68506-1200
Phone
(402) 483-8600
Fax
(402) 483-8689
NPI assigned
May 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NE Primary

Addresses

Primary practice location

1500 S 48TH St Ste 800
Lincoln, NE 68506-1200

Mailing address

1500 S 48TH St Ste 800
Lincoln, NE 68506-1200
Phone (402) 483-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.green.1@32348.direct.athenahealth.com Direct Nebraska Pulmonary Specialties LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 S 48TH St
Suite 800
Lincoln, NE 68506-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1952238255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST STE 800",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061200",
            "telephone_number": "402-483-8600",
            "fax_number": "402-483-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST STE 800",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061200",
            "telephone_number": "402-483-8600",
            "fax_number": "402-483-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.green.1@32348.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Message",
            "affiliationName": "Nebraska Pulmonary Specialties LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 S 48th St",
            "address_2": "Suite 800",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.