Individual provider Active NPI

Amy Scheeringa, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Auburn, IN
National Provider Identifier
1033369897
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
70000218A Issued in IN
Practice address
1800 Wesley Rd
Auburn, IN 46706-3653
Phone
(260) 925-2453
Fax
(260) 925-0830
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 70000218A IN Primary
Registered Nurse 163W00000X 28110341A IN

Addresses

Primary practice location

1800 Wesley Rd
Auburn, IN 46706-3653

Mailing address

1800 Wesley Rd
Auburn, IN 46706-3653
Phone (260) 925-2453

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
I20110310000701 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 4587846688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Center IncGroup PAC ID 6709795636, 24 clinicians

Practice addresses (Care Compare)

1800 Wesley Rd
Auburn, IN 46706-3653
Phone (260) 925-2453

220 S Main St
Kendallville, IN 46755-1718
Phone 2603472453115

3265 Intertech Dr
Angola, IN 46703-7325
Phone (260) 665-9494

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
28110341AINMDRegistered Nurse
70000218AINMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Center Inc CurrentSince Jan 12, 2011 Accepting new patients
Northeastern Center, Inc CurrentSince Jan 12, 2011 Accepting new patients

Locations

1800 Wesley Rd
Auburn, IN 46706
Phone (260) 925-2453

220 S Main St
Kendallville, IN 46755
Phone (219) 347-4400

1930 Dowling St
Kendallville, IN 46755
Phone (260) 347-4400

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 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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1033369897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESLEY RD",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063653",
            "telephone_number": "260-925-2453",
            "fax_number": "260-925-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESLEY RD",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063653",
            "telephone_number": "260-925-2453",
            "fax_number": "260-925-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEERINGA",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IN",
            "license": "70000218A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28110341A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

Verify at the official NPI Registry.