AMY ELIZABETH THEESEN (APRN) – Nurse Practitioner, NPI 1770874570

AMY ELIZABETH THEESEN (APRN) is a healthcare provider. based in Grand island, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 111250 (NE). The NPI Number for AMY ELIZABETH THEESEN (APRN) is 1770874570

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
AMY ELIZABETH THEESEN (APRN)
NPI
1770874570
Phone
(308) 382-2010
Address
800 N ALPHA ST
Enumeration Date
27 April 2011
Last Update Date
6 July 2020

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3083818636
Graduation Year
2011 (15 years ago)
PAC ID
3870762404
Group Practice PAC ID
4789098443
Professional Enrollment ID
I20110816000269
Address ID
NE688034965GR3515XCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for AMY ELIZABETH THEESEN (APRN)

  • 800 N ALPHA ST

    GRAND ISLAND, NE 688034320

    Phone: (308) 382-2010

    Fax: (308) 382-9549

    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)

CMS reports 24 Open Payments records for all available years, with a total value of $517.

Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($114).

Total Amount

$517

General + Research + Ownership

Payments

24

Total payment records

General Amount

$517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-16

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
I20110816000269INurse PractitionerNETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes682537$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3635$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing3030$0
36415Insertion of needle into vein for collection of blood sample2422$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 68803)

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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: 4789098443View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
H O S P I T A L I S TNE
Physician AssistantNE
Interventional Cardiology, Cardiovascular Disease (Cardiology)NE
Physical Medicine And RehabilitationNE
N E U R O S U R G E R YNY
Nurse PractitionerNE
Hospitalist, Family PracticeNE
Hospitalist, Family PracticeNE
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)NE

Reviews

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Frequently asked questions

What is AMY ELIZABETH THEESEN (APRN)'s NPI number?
AMY ELIZABETH THEESEN (APRN)'s NPI is 1770874570 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to AMY ELIZABETH THEESEN (APRN)?
You should see AMY ELIZABETH THEESEN (APRN) as active in CMS-hosted NPPES data.
What expertise is attributed to AMY ELIZABETH THEESEN (APRN)?
AMY ELIZABETH THEESEN (APRN)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is AMY ELIZABETH THEESEN (APRN) located near Grand Island?
AMY ELIZABETH THEESEN (APRN) currently maps to Grand Island, Nebraska in this extract.
Can I trust this NPI listing for AMY ELIZABETH THEESEN (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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