Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Hotovy

Individual provider Physician Assistant · NPI 1275027823

Amanda Hotovy is a Physician Assistant in Omaha, Nebraska. Qualified in 2018, 8 years ago. Practices with Mod Dermatology PC, a 7-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
8
Licensed in
NE
In the registry since
2018
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Practice location Address checks out

16910 Frances St
Omaha, NE 68130-2398
Phone: (402) 505-8777
Fax: (402) 933-7767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2251 (NE)

Record details

NPI number1275027823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESJanuary 20, 2023
Certification dateDecember 26, 2022
Mailing address16910 Frances St, Omaha, NE 68130-2398

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mod Dermatology Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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