Individual provider Active NPI

Amanda Jamieson, FNP

  • Family Nurse Practitioner
  • Smyrna, DE
National Provider Identifier
1063966406
Registry record updated Aug 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000953 Issued in DE
Practice address
100 S Main St
Suite Number 205
Smyrna, DE 19977-1477
Phone
(302) 653-6022
NPI assigned
Aug 14, 2016
Last updated
Aug 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000953 DE Primary

Addresses

Primary practice location

100 S Main St
Suite Number 205
Smyrna, DE 19977-1477

Mailing address

1009 Camelot Dr
Middletown, DE 19709-7525
Phone (302) 293-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20190124002126 DE Practitioner - Nurse Practitioner 1052658366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Spine Center PAGroup PAC ID 6305862848, 14 clinicians

Practice addresses (Care Compare)

4735 Ogletown Stanton Rd
Suite 3302
Newark, DE 19713-2094
Phone (302) 602-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
95.48
Improvement activities
40
Cost
67.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000953DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Spine Ambulatory Surgical Center, LLC CurrentSince Dec 26, 2018 Accepting new patients
Christiana Spine Center PA CurrentSince Dec 26, 2018 Accepting new patients
Christiana Spine Center PA CurrentSince Dec 26, 2018 Accepting new patients

Locations

1101 Twin C Ln
Ste 102
Newark, DE 19713
Phone (302) 602-7000

1101 Twin C Ln
Ste 202
Newark, DE 19713
Phone (302) 636-1164

4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713
Phone (302) 602-7000

Interoperability endpoints

  • Direct secure messaging: amanda.jamieson@cscpa.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGGAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471132800000",
    "number": "1063966406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CAMELOT DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197097525",
            "telephone_number": "302-293-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE NUMBER 205",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771477",
            "telephone_number": "302-653-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIESON",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-14",
        "last_updated": "2016-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.