Individual provider Active NPI

Amanda Saunders, APRN FNP-BC

  • Family Nurse Practitioner
  • Sidney, OH
National Provider Identifier
1073842399
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030347 Issued in OH
Practice address
1023 Fair Rd
Sidney, OH 45365-8947
Phone
(937) 658-6216
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 354813 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0030347 OH Primary

Addresses

Primary practice location

1023 Fair Rd
Sidney, OH 45365-8947

Mailing address

1023 Fair Rd
Sidney, OH 45365-8947
Phone (937) 658-6216

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
I20220126001245 OH Practitioner - Nurse Practitioner 1951793884 Reassigns benefits to 3 organizations

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
Amanda Saunders Aprn FNP-BC LLCGroup PAC ID 1658751003, 2 clinicians

Practice addresses (Care Compare)

867 Merri LN
Sidney, OH 45365-3244
Phone (937) 570-7764

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
354813OHMDRegistered Nurse
APRN.CNP.0030347OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Saunders Aprn FNP-BC LLC Family CurrentSince Mar 20, 2022 Accepting new patients
Dayton Pain Center LLC CurrentSince Nov 30, 2021 Accepting new patients
Scripts 360 Wellness Co Family CurrentSince Apr 10, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1 Elizabeth Pl
Ste D
Dayton, OH 45417
Phone (937) 222-2233

829 Saint Marys Ave
Sidney, OH 45365
Phone (937) 606-4275

1023 Fair Rd
Sidney, OH 45365
Phone (937) 492-9900

331 6th Ave
Sidney, OH 45365
Phone (937) 222-2233

1540 Michigan St
Sidney, OH 45365
Phone (937) 492-1961

Organizations & group practices 4

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1073842399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 FAIR RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658947",
            "telephone_number": "937-658-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 FAIR RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658947",
            "telephone_number": "937-658-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "AMANDA",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "354813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.