Individual provider Active NPI

Amy E Fathman, CFNP

  • Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1003837352
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3003600 Issued in KY
Practice address
400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653
Phone
(614) 360-9995
Fax
(844) 571-1777
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3003600 KY Primary

Addresses

Primary practice location

400 Altair Pkwy Ste 3100
Westerville, OH 43082-7653

Mailing address

9855 Washington Trace Rd
California, KY 41007-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061212000006 OH Practitioner - Nurse Practitioner 8729087242 Reassigns benefits to 1 organization
I20200601001619 KY Practitioner - Nurse Practitioner 8729087242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 301-5901

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3003600KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Cincinnati CurrentSince Nov 12, 2015 Accepting new patients
City of Cincinnati Current Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Jun 22, 2020 Accepting new patients
City of Cincinnati CurrentSince Nov 12, 2015 Accepting new patients
Summit Medical Group, Inc. CurrentSince Jun 22, 2020 Accepting new patients
Femm Foundation Past Accepting new patients
City of Cincinnati Past Accepting new patients

Locations

300 Commercial Dr
Alexandria, KY 41001
Phone (859) 344-5481

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

100 Blackburn Ln
Dry Ridge, KY 41035
Phone (859) 823-5441

19 S Main St
Dry Ridge, KY 41035
Phone (606) 824-7111

900 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-5501

830 Thomas More Pkwy
Fort Mitchell, KY 41017
Phone (859) 301-8686

20 N Grand Ave
Ste 3
Fort Thomas, KY 41075
Phone (606) 781-8000

2626 Alexandria Pike
Highland Heights, KY 41076
Phone (859) 757-0434

135 Courthouse Xing
Independence, KY 41051
Phone (859) 301-0990

1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070

5522 Taylor Mill Rd
Taylor Mill, KY 41015
Phone (606) 491-2855

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

2520 Madison Rd
Cincinnati, OH 45208
Phone (513) 363-9110

2030 Fairfax Ave
Cincinnati, OH 45207
Phone (513) 363-7800

1930 Fricke Rd
Cincinnati, OH 45225
Phone (513) 357-7208

1702 Grand Ave
Cincinnati, OH 45214
Phone (513) 363-4600

2411 Baltimore Ave
Cincinnati, OH 45225
Phone (513) 357-7208

3101 Burnet Ave
Ofc
Cincinnati, OH 45229

2121 Hatmaker St
Cincinnati, OH 45204
Phone (513) 363-0000

2136 W 8th St
Cincinnati, OH 45204
Phone (513) 357-2700

2146 Ferguson Rd
Cincinnati, OH 45238
Phone (513) 363-7200

Interoperability endpoints

  • Direct secure messaging: afathman327566@direct-prd.stelizabeth.com
  • FHIR API: https://api.platform.athenahealth.com/12544/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amy.fathman.1@12544.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1003837352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 WASHINGTON TRACE RD",
            "city": "CALIFORNIA",
            "state": "KY",
            "postal_code": "410078507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 3100",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827653",
            "telephone_number": "614-360-9995",
            "fax_number": "844-571-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHMAN",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.