Individual provider Active NPI

Amy Grogan

  • Nurse Practitioner
  • Murray, KY
National Provider Identifier
1063162790
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3017388 Issued in KY
Practice address
1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone
(270) 971-4344
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 3017388 KY
Nurse Practitioner 363L00000X 3017388 KY Primary

Addresses

Primary practice location

1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759

Mailing address

200 S 6TH St
Murray, KY 42071-2516
Phone (270) 293-9514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220505002243 KY Practitioner - Nurse Practitioner 8729465026 Reassigns benefits to 2 organizations
I20250421001715 IN Practitioner - Nurse Practitioner 8729465026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Thomas Whealton PSCGroup PAC ID 5294183307, 5 clinicians
Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

1601 Hwy 121 Byp N
Suite B
Murray, KY 42071-8759
Phone (270) 971-4344

2007 W Franklin St
Suite B
Evansville, IN 47712-5112
Phone (812) 422-8244

2242 US Hwy 41 N
Henderson, KY 42420-2375
Phone (270) 844-8515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Jan 27, 2025 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc. Nurse Practitioner CurrentSince Jan 27, 2025 Accepting new patients
Dr Thomas Whealton PSC Nurse Practitioner CurrentSince Oct 2, 2023 Accepting new patients
Deaconess Clinic, Inc. Nurse Practitioner CurrentSince Feb 25, 2025 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

3150 Warrick Dr
Boonville, IN 47601
Phone (812) 450-6430

2622 Menards Dr
Evansville, IN 47715
Phone (812) 450-2622

2007 W Franklin St
Ste B
Evansville, IN 47712
Phone (812) 422-7244

120 SE 4th St
Evansville, IN 47708
Phone (812) 426-6638

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

2007 W Franklin St
Ste B
Evansville, IN 47712

4011 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 858-2100

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1414 W Broadway St
Princeton, IN 47670
Phone (812) 385-5283

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

1601 Highway 121 Byp N
Murray, KY 42071

1601 Highway 121 Byp N
Ste B
Murray, KY 42071
Phone (270) 971-4344

2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140

Interoperability endpoints

  • Direct secure messaging: amy.grogan.1@32361.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1063162790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 6TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712516",
            "telephone_number": "270-293-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HIGHWAY 121 BYP N STE B",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718759",
            "telephone_number": "270-971-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGAN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017388",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.