Individual provider Active NPI

Amy Carol Wall, FNP

  • Family Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1023324282
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003341A Issued in IN
Practice address
4199 Gateway Blvd Ste 2400
Newburgh, IN 47630-7972
Phone
(812) 858-4610
Fax
(812) 858-4635
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003341A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd Ste 2400
Newburgh, IN 47630-7972

Mailing address

4199 Gateway Blvd Ste 2400
Newburgh, IN 47630-7972
Phone (812) 858-4610

Other practice location 1

4199 Gateway Blvd Ste 2300
Newburgh, IN 47630-8966
Phone (812) 858-4610

Other identifiers 1

IdentifierTypeStateIssuer
200993890MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000673 IN Practitioner - Nurse Practitioner 1850583428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Care, P.C.Group PAC ID 0143114140, 25 clinicians

Practice addresses (Care Compare)

4199 Gateway Blvd
Suite 2300
Newburgh, IN 47630-8966
Phone (812) 858-4610

Hospital & facility affiliations

  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
98.68
Promoting interoperability
100
Improvement activities
40
Cost
67.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Care, PC CurrentSince Aug 20, 2020 Accepting new patients
Women'S Health Care, PC CurrentSince Aug 20, 2020 Accepting new patients

Locations

4199 Gateway Blvd
Ste 2400
Newburgh, IN 47630
Phone (812) 858-4600

4199 Gateway Blvd
Ste 2500
Newburgh, IN 47630
Phone (812) 471-0045

4199 Gateway Blvd
Ste 2300
Newburgh, IN 47630
Phone (812) 858-4610

Interoperability endpoints

  • Direct secure messaging: awall46322@direct.deaconess.com

Organizations & group practices 2

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 6

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1023324282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 2400",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307972",
            "telephone_number": "812-858-4610",
            "fax_number": "812-858-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 2400",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307972",
            "telephone_number": "812-858-4610",
            "fax_number": "812-858-4635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Gateway Blvd Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308966",
            "country_code": "US",
            "telephone_number": "812-858-4610",
            "fax_number": "812-858-4635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "AMY",
        "middle_name": "CAROL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003341A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200993890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.