Amara Donella Dickerson, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

71007595A Issued in IN

Practice address

9410 Calumet Ave Ste 401
Munster, IN 46321-0018

Phone

(219) 922-4900

Fax

(219) 836-9922

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amara Wright-Terry Former name

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

92.23 of 100Reported as group

Quality

84.45

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

78.64 of 100Reported as group

Quality

56.64

Promoting interoperability

73

Improvement activities

40

Cost

76.72

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdh-nwi@directaddress.net
• Direct secure messaging: awrightterry57836@direct.franciscanalliance.org
• Direct secure messaging: awrightterry82161@themethodisthospitals.direct-ci.com

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.

• Dalal Medical Corporation

  dba Centers for Digestive Health

  • Gastroenterology Physician
  • Munster, IN
  • NPI 1720024615
  Medicare reassignment NPD
• The Methodist Hospitals, Inc

  dba Methodist Northlake Physicians

  • Internal Medicine Physician
  • Gary, IN
  • NPI 1720290349
  Medicare reassignment NPD
• The Methodist Hospitals, Inc

  dba Methodist GI Services

  • Gastroenterology Physician
  • Gary, IN
  • NPI 1326614991
  NPD
• The Methodist Hospitals, Inc

  dba The Neuroscience Institute of NWI

  • Neurology Physician
  • Gary, IN
  • NPI 1720290588
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1043722622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "AMARA",
        "middle_name": "DONELLA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007595A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71007595A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300011528",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdh-nwi@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "CDH gGastro",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9410 Calumet Ave Ste 401",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463210018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMARA",
            "last_name": "WRIGHT-TERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dewnzar Howard MD
• Juan Di Leo Razuk, PT
• Rand Diab, M.D.
• Diabetes and Endocrinology Centers, LTD.
• Michael D. Dichoso, DPM
• Giulia Dickinson, PHARMD
• Frederick Joseph Diel, DPM
• Thomas J Difilippo, D.O.
• Dinamic Health Care, Inc
• Christine Dinatale, RPH

• Acute Care Nurse Practitioner in Munster, IN
• Providers in Munster, IN by specialty
• Acute Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.

Verify at the official NPI Registry.