Individual provider Active NPI

Amie Horst, FNP

  • Family Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1073192878
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
255839 Issued in AZ
Practice address
13014 W Camelback Rd
Litchfield Park, AZ 85340-9401
Phone
(888) 698-6727
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 255839 AZ Primary

Addresses

Primary practice location

13014 W Camelback Rd
Litchfield Park, AZ 85340-9401

Mailing address

13014 W Camelback Rd
Litchfield Park, AZ 85340-9401

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahorst@villagemd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210630000867 AZ Practitioner - Nurse Practitioner 9234530056 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
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

14541 W Indian School Rd
Suite 600
Goodyear, AZ 85395-9243
Phone (888) 698-6727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255839AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince May 3, 2021 Accepting new patients

Locations

10705 W Indian School Rd
Ste 100
Avondale, AZ 85392

10705 W Indian School Rd
Avondale, AZ 85392
Phone (623) 332-3331

5620 W Thunderbird Rd
Ste B2
Glendale, AZ 85306
Phone (602) 547-9405

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

13014 W Camelback Rd
Litchfield Pk, AZ 85340
Phone (623) 935-0454

Interoperability endpoints

  • Direct secure messaging: amie.horst.1@19654.direct.athenahealth.com

Organizations & group practices 1

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 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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1073192878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13014 W CAMELBACK RD",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13014 W CAMELBACK RD",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409401",
            "telephone_number": "888-698-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORST",
        "first_name": "AMIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "255839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorst@villagemd.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "13014 W Camelback Rd",
            "city": "Litchfield Park",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853409401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.