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AMANDA R. MILLEMON PA-C
NPI 1619209186
Physician Assistant in Omaha, NE

Active since February 08, 2010PECOS Enrolled
44.24/100
CMS Quality Rating
3830 N 167TH CT, OMAHA, NE 68116(402) 965-4000(402) 965-4001 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda R. Millemon Pa-c NPPES

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

AMANDA R. MILLEMON PA-C (NPI 1619209186) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (1493) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619209186
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA R. MILLEMONCredential: PA-C
Location Address3830 N 167TH CTOmaha, NE 68116-8067
Mailing Address6910 Pacific St, Ste 100Omaha, NE 68106-1044 · (402) 504-3707 · Fax (402) 504-3714
Phone(402) 965-4000
Fax(402) 965-4001
Sole ProprietorNo
Enumeration DateFebruary 8, 2010
Last NPPES UpdateFebruary 1, 2019
✔ NPI 1619209186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NE · 1493
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3830 N 167TH CT, Omaha, NE 68116
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Other Identifiers 1

Other1493NE · Ne License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda R. Millemon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

44.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality28.05
Promoting Interoperability0
Improvement Activities40
Cost39.45

Other Providers at the Same Location NPPES 10

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

URGENT CARE OF OMAHA
Clinic/Center (Urgent Care)
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
KRISTI J WILSON APRN
Nurse Practitioner (Family)
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
MEDIFAST URGENT CARE LLC
Family Medicine
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
GRACE HALDER PT, DPT
Physical Therapist
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 502-2290
MEDIFAST URGENT CARE LLC
Clinic/Center (Urgent Care)
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
NICOLE MARIE SEARS PA-C
Physician Assistant
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 965-4000
RILEY RISCHLING
Physical Therapist
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 502-2290
OMAHA BARIATRIC MEDICINE , P.C.
Family Medicine (Obesity Medicine)
3830 N 167TH CT
OMAHA, NE 68116
Douglas County (402) 496-7192

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 Amanda Millemon's NPI number?

The NPI number for Amanda Millemon is 1619209186. It was assigned to this individual provider in the NPPES registry on February 8, 2010.

Where is Amanda Millemon located?

Amanda Millemon practices at 3830 N 167th Ct, Omaha, NE 68116. The listed phone number is (402) 965-4000.

What is Amanda Millemon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Millemon enrolled in Medicare?

Yes. Amanda Millemon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Millemon was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.