Amanda Mary Fry, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G177603 Issued in IA

Practice address

7555 Hickman Rd
Urbandale, IA 50322-4620

Phone

(515) 225-7201

Fax

(515) 225-9213

NPI assigned

Feb 14, 2024

Sex

Female

Sole proprietor

Yes

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.

• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1588692487

  IA

  Medicare reassignment Care Compare group NPD
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1497522262
  Care Compare group NPD
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marshalltown, IA
  • NPI 1003293317
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1043970916
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1124177407
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1174139158
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1316379845
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Urbandale, IA
  • NPI 1396270831
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1417005919
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1598204182
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1720539091
  Care Compare group
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ames, IA
  • NPI 1932539608
  Care Compare group

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Care Inc 72 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IA

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2024.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1063277671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224620",
            "telephone_number": "515-225-7201",
            "fax_number": "515-225-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "AMANDA",
        "middle_name": "MARY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G177603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foundations Therapy and Consulting LLC
• Landi Fox, BCBA
• Allison Freel, D.P.T.
• Ebitari O Fregene, DNP
• McKenzie Friedman
• Kay A Frye, ARNP
• Jeanne Marie Fung, OTR/L
• Erik D Furst, PHARMD
• William Jacob Gallaher, DDS
• Holly Jane Gardner, PHARMD

• All providers in Urbandale, IA
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.