AM WELLNESS CLINIC LLC
NPI 1942195797
Nurse Practitioner in Bridgeport, NE

Q: What is Am Wellness Clinic LLC's NPI number?

The NPI number for Am Wellness Clinic LLC is 1942195797. It was assigned to this organization in the NPPES registry on June 11, 2025.

Q: What is Am Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 11, 2025CLIA 28D2326035 · Waiver

1002 MAIN ST, BRIDGEPORT, NE 69336(308) 262-5640(970) 667-0847 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Am Wellness Clinic Llc NPPES

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

AM WELLNESS CLINIC LLC (NPI 1942195797) is a healthcare organization registered as a nurse practitioner in Bridgeport, Nebraska and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Amber Malcolm, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1942195797

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameAM WELLNESS CLINIC LLC

Location Address1002 MAIN STBridgeport, NE 69336-4035

Mailing AddressPo Box 147Bridgeport, NE 69336-0147 · (308) 262-5640 · Fax (970) 667-0847

Phone(308) 262-5640

Fax(970) 667-0847

Organization SubpartNo

Authorized OfficialAmber MalcolmPresident/ceo · (308) 778-6468

Enumeration DateJune 11, 2025

Last NPPES UpdateJuly 22, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1942195797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X

1002 MAIN ST, Bridgeport, NE 69336

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Am Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Am Wellness Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amber Malcolm, FNP

Nurse Practitioner

NPI 1568820900

1002 MAIN ST
Bridgeport, NE 69336

(308) 262-5640

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2326035

Am Wellness Clinic LLC · Bridgeport, NE

Active · expires Jun 24, 2027

CLIA Number28D2326035

Laboratory TypePharmacy

Certificate Effective DateJune 25, 2025

Certificate Expiration DateJune 24, 2027

Laboratory DirectorAmber E. Malcolm

Laboratory Phone(308) 262-5640

Laboratory LocationAm Wellness Clinic LLC1002 Main Street, Bridgeport, NE 69336

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Am Wellness Clinic LLC's NPI number?

The NPI number for Am Wellness Clinic LLC is 1942195797. It was assigned to this organization in the NPPES registry on June 11, 2025.

Where is Am Wellness Clinic LLC located?

Am Wellness Clinic LLC is located at 1002 Main St, Bridgeport, NE 69336. The listed phone number is (308) 262-5640.

What is Am Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Am Wellness Clinic LLC enrolled in Medicare?

Yes. Am Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Am Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Am Wellness Clinic LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Am Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2326035) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Am Wellness Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Am Wellness Clinic LLC 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 Am Wellness Clinic LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.