Active NPI
Amber L Shutter, NP
- Psychiatric/Mental Health Nurse Practitioner
- Auburn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 405030
- Practice address
- 146 North St
Auburn, NY 13021-1831 - Phone
- (315) 253-0341
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 688705 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405030 | NY | Primary |
Addresses
Primary practice location
146 North St
Auburn, NY 13021-1831
Mailing address
2864 Fire Lane 1
Moravia, NY 13118-9375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of Ny Upstate Medical University, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 703-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688705 | NY | MD | Registered Nurse |
| 405030 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph'S Hospital Health Center | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| St. Joseph'S Pathology, PC | Current | Accepting new patients | |
| Auburn Community Hospital | Current | Accepting new patients | |
| St Josephs Medical PC | Past | Accepting new patients |
Locations
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
77 Nelson St
Ste 220
Auburn, NY 13021
Phone (315) 252-8838
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1013378827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2864 FIRE LANE 1",
"city": "MORAVIA",
"state": "NY",
"postal_code": "131189375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 NORTH ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211831",
"telephone_number": "315-253-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUTTER",
"first_name": "AMBER",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2023-06-19",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "688705",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "405030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.