Individual provider Active NPI

Amanda Spicer

  • Psychiatric/Mental Health Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1053880948
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
023874 Issued in OH
Practice address
930 Bethesda Dr
Zanesville, OH 43701-0815
Phone
(740) 569-5737
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 023874 OH Primary

Addresses

Primary practice location

930 Bethesda Dr
Zanesville, OH 43701-0815

Mailing address

930 Bethesda Dr
Zanesville, OH 43701-0815
Phone (740) 569-5737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201014002372 OH Practitioner - Nurse Practitioner 2567882459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Ohio Behavioral Health LLCGroup PAC ID 7214212695, 19 clinicians
Ohio Psychiatric Associates, IncGroup PAC ID 9537192380, 8 clinicians

Practice addresses (Care Compare)

1515 E Broad St
Columbus, OH 43205-1550
Phone (740) 569-5737

975 Bethesda Dr
BLDG 7
Zanesville, OH 43701-7500
Phone (740) 452-4539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023874OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Behavioral Health LLC CurrentSince Jul 10, 2020 Accepting new patients
Ohio Psychiatric Associates, Inc Psychiatric/Mental Health CurrentSince Dec 20, 2024 Accepting new patients

Locations

1515 E Broad St
Columbus, OH 43205
Phone (614) 251-6941

930 Bethesda Dr
Unit 4
Zanesville, OH 43701
Phone (740) 455-6202

975 Bethesda Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 452-4539

930 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-4848

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/midohiobh/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1053880948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-569-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-569-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "023874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.