Amy Marie Elwell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP211498 Issued in ME

Practice address

1 VA Ctr
Augusta, ME 04330-6795

Phone

(207) 623-8411

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1043977697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 MAIN ST",
            "city": "READFIELD",
            "state": "ME",
            "postal_code": "043554122",
            "telephone_number": "207-441-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VA CTR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306795",
            "telephone_number": "207-623-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWELL",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.elwell@va.gov",
            "affiliation": "N",
            "address_1": "1 Va Ctr",
            "city": "Augusta",
            "state": "ME",
            "country_code": "US",
            "postal_code": "043306795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Grace Ellis, OTR/L
• Shaina Daley Ellis, LMT
• Shandi Lynn Ellis
• James Elmore
• Peter W Elvin, PA-C
• Laura Elwell, COTA/L
• Edith L Emerson, PA-C
• Andrew R Emery, DMD, MD
• Employment Specialist of Maine, Inc.
• Employment Specialists of Maine, Inc.

• Family Nurse Practitioner in Augusta, ME
• Providers in Augusta, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.