1. Home
  2. Directory
  3. Nebraska
  4. Lincoln
  5. Dietitian Registered
  6. NPI Profile

ANGELINA STOVALL-AMOS
NPI 1558877472
Dietitian, Registered in Lincoln, NE

Active since December 15, 2017
3640 SW 16TH ST, LINCOLN, NE 68522(402) 413-8932 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2021, Dec 15, 2017 (2 updates tracked since 2017).

About Angelina Stovall-amos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELINA STOVALL-AMOS (NPI 1558877472) is an individual dietitian, registered in Lincoln, Nebraska, licensed in Nebraska (1032771) and active in the NPI registry since December 2017. She maintains a secondary practice location in Lincoln and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1558877472
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANGELINA STOVALL-AMOS
Location Address3640 SW 16TH STLincoln, NE 68522-9206
Mailing Address3900 Old Cheney Road, Ste 201 #324Lincoln, NE 68516-2709 · (402) 413-8932
Phone(402) 413-8932
Sole ProprietorYes
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2012
Enumeration DateDecember 15, 2017
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1558877472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NE · 1032771
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3640 SW 16TH ST, Lincoln, NE 68522
Open in Google Maps ↗

Secondary Practice Location 1

Location 1285 S 68th Street Pl Ste 308Lincoln, NE 68510-2584 · Phone (402) 310-4159

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelina Stovall-amos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597238576
PECOS Enrollment IDI20260622001914

Medicare Billing Reassignment

Medicare enrollment records show Angelina Stovall-amos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life Cycle Nutrition LLC
52 mi
Dietitian, Registered
11329 P ST STE 126
Omaha, NE 68137
  • Reassigned Medicare billing, Nebraska enrollment
  • 7 clinicians in this Medicare group
NPI 1952894875 (402) 509-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAISE ME HEALTHY LLC
Dietitian, Registered
3640 SW 16TH ST
LINCOLN, NE 68522
Lancaster County (402) 310-4159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelina Stovall-amos's NPI number?

The NPI number for Angelina Stovall-amos is 1558877472. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Angelina Stovall-amos located?

Angelina Stovall-amos practices at 3640 SW 16th St, Lincoln, NE 68522. The listed phone number is (402) 413-8932.

What is Angelina Stovall-amos's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Angelina Stovall-amos enrolled in Medicare?

Yes. Angelina Stovall-amos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angelina Stovall-amos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelina Stovall-amos reassigns Medicare benefits to Life Cycle Nutrition LLC (Omaha, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelina Stovall-amos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelina Stovall-amos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Angelina Stovall-amos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angelina Stovall-amos was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.