Individual provider Active NPI

Amber Dean, FNP-C

  • Family Nurse Practitioner
  • Sedalia, MO
National Provider Identifier
1023859220
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024019264 Issued in MO
Practice address
3700 W 10TH St Ste 200
Sedalia, MO 65301-2540
Phone
(660) 827-1771
Fax
(660) 827-1422
NPI assigned
Jun 3, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 2024019264 MO Primary

Addresses

Primary practice location

3700 W 10TH St Ste 200
Sedalia, MO 65301-2540

Mailing address

19686 Carpet Barn Rd
Lincoln, MO 65338-2708
Phone (573) 378-8744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240625002159 MO Practitioner - Nurse Practitioner 9638612195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BRHCGroup PAC ID 6608049697, 8 clinicians

Practice addresses (Care Compare)

3700 W 10TH St
Sedalia, MO 65301-2540
Phone (660) 827-1771

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024019264MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BRHC Cardiovascular Disease CurrentSince Jun 1, 2024 Accepting new patients
Bothwell Regional Health Center PastSince Jun 1, 2024 Accepting new patients
Missouri Cardiovascular Specialists Cardiovascular Disease Past Accepting new patients

Locations

3700 W 10th St
Ste 200
Sedalia, MO 65301
Phone (660) 827-1771

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/gemms-mis01

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1023859220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19686 CARPET BARN RD",
            "city": "LINCOLN",
            "state": "MO",
            "postal_code": "653382708",
            "telephone_number": "573-378-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 10TH ST STE 200",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012540",
            "telephone_number": "660-827-1771",
            "fax_number": "660-827-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "AMBER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024019264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.