AMIE D SUGHROUE (PA) – Physician Assistant, NPI 1558612366

AMIE D SUGHROUE (PA) is a healthcare provider. based in North platte, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for AMIE D SUGHROUE (PA) is 1558612366

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
AMIE D SUGHROUE (PA)
NPI
1558612366
Phone
(308) 696-8000
Address
601 W LEOTA ST
Enumeration Date
20 September 2012
Last Update Date
20 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3083457036
Graduation Year
2012 (14 years ago)
PAC ID
9931359262
Group Practice PAC ID
5799823423
Professional Enrollment ID
I20121023000571
Address ID
NE690012824MC3XXXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for AMIE D SUGHROUE (PA)

  • 601 W LEOTA ST

    P.O. BOX 1167

    NORTH PLATTE, NE 691016525

    Phone: (308) 696-8000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121023000571IPhysician AssistantNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7968$0
96372Injection of drug or substance under skin or into muscle2015$0
View full utilization report →

Insurance plans in this area (ZIP 69101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799823423View full group profile
NameSpecialtyState
Family PracticeNE
Physician AssistantNE
Physician AssistantNE
-NE
Physician AssistantTX

Reviews

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Frequently asked questions

Can I use this page to confirm AMIE D SUGHROUE (PA)'s NPI?
Yes. AMIE D SUGHROUE (PA) is listed with NPI 1558612366 in the public NPI dataset.
Can I rely on AMIE D SUGHROUE (PA) being an active provider?
As of the registry snapshot, AMIE D SUGHROUE (PA) is marked active.
What taxonomy line describes AMIE D SUGHROUE (PA)?
For research purposes, treat AMIE D SUGHROUE (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for AMIE D SUGHROUE (PA)?
AMIE D SUGHROUE (PA)'s geographic hint is North Platte, Nebraska in our summary view.
Is the information about AMIE D SUGHROUE (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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