Individual provider Active NPI

Amy Chico

  • Family Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1033592431
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172721 Issued in VA
Practice address
644 University Blvd
Harrisonburg, VA 22801-3773
Phone
(540) 214-5682
Fax
(540) 214-5683
NPI assigned
Jul 2, 2015
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172721 VA Primary
Registered Nurse 163W00000X 0001180364 VA

Addresses

Primary practice location

644 University Blvd
Harrisonburg, VA 22801-3773

Mailing address

PO Box 388
Fishersville, VA 22939-0388

Other practice location 1

15 Killdeer Ln
Dayton, VA 22821-9745
Phone (540) 879-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150911002163 VA Practitioner - Nurse Practitioner 9133436819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

644 University Blvd
Harrisonburg, VA 22801-3773
Phone (540) 214-2930

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001180364VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Medical Group CurrentSince Jun 20, 2022 Accepting new patients
Augusta Medical Group CurrentSince Jun 20, 2022 Accepting new patients

Locations

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

1751 Erickson Ave
Harrisonburg, VA 22801
Phone (540) 433-3344

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

42 Lambert St
Ste 511
Staunton, VA 24401
Phone (540) 886-6259

Interoperability endpoints

  • Direct secure messaging: amy.chico.1@14718.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

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, 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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1033592431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 UNIVERSITY BLVD",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013773",
            "telephone_number": "540-214-5682",
            "fax_number": "540-214-5683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Killdeer Ln",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "VA",
            "postal_code": "228219745",
            "country_code": "US",
            "telephone_number": "540-879-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHICO",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172721",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001180364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.