Individual provider Active NPI

Amy J Calice, MSN-FNP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1033605183
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05180570 Issued in MO
Practice address
150 S Mount Auburn Rd Ste 418
Cape Girardeau, MO 63703-4911
Phone
(573) 332-6000
NPI assigned
Jul 2, 2018
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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 F05180570 MO Primary

Addresses

Primary practice location

150 S Mount Auburn Rd Ste 418
Cape Girardeau, MO 63703-4911

Mailing address

150 S Mount Auburn Rd Ste 418
Cape Girardeau, MO 63703-4911

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
I20180918002327 MO Practitioner - Nurse Practitioner 1759632573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians
Cape Family Medical Clinic, LLCGroup PAC ID 4183885403, 10 clinicians

Practice addresses (Care Compare)

1102 Sikes Ave
Sikeston, MO 63801-5021

24 N Sprigg St
Cape Girardeau, MO 63701-5526
Phone (573) 332-7992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.24 of 100Reported as group
Quality
94.61
Promoting interoperability
100
Improvement activities
40
Cost
76.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05180570MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Family Medical Clinic, LLC CurrentSince Aug 1, 2025 Accepting new patients
Cape Family Medical Clinic, LLC CurrentSince Aug 1, 2025 Accepting new patients
Aesthetic Dermatologic Surgery CurrentSince Sep 4, 2018 Accepting new patients
Cape Family Medical Clinic, LLC Past Accepting new patients

Locations

150 S Mount Auburn Rd
Ste 418
Cpe Girardeau, MO 63703
Phone (573) 332-6000

24 N Sprigg St
Cpe Girardeau, MO 63701
Phone (314) 652-0100

Interoperability endpoints

  • Direct secure messaging: amy.calice.p1@direct.regionalprimarycare.nextgenshare.com

Organizations & group practices 7

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 3

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1033605183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD STE 418",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD STE 418",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034911",
            "telephone_number": "573-332-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICE",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F05180570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.