Active NPI
Amy Carol Wall, FNP
- Family Nurse Practitioner
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71003341A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200993890 | Medicaid | IN |
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
Enrollment records 1
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
Practice addresses (Care Compare)
4199 Gateway Blvd
Suite 2300
Newburgh, IN 47630-8966
Phone (812) 858-4610
Hospital & facility affiliations
- The Women'S Hospital
- Deaconess Hospital Inc
- Good Samaritan Hospital
- Deaconess Henderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.73 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Health Care, PC | Current | Accepting new patients | |
| Women'S Health Care, PC | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Newburgh, IN
- NPI 1174590509
-
- Obstetrics & Gynecology Physician
- Newburgh, IN
- NPI 1457533564
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.