Active NPI
Amy Cogan, PA-C
- Physician Assistant
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117662
- Practice address
- 10590 N Meridian St Ste 105
Carmel, IN 46290-1028 - Phone
- (317) 583-7800
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10004787A | IN | |
| Physician Assistant | 363A00000X | 085008955 | IL | |
| Physician Assistant | 363A00000X | PA9117662 | FL | Primary |
| Physician Assistant | 363A00000X | 50.005054RX | OH |
Addresses
Primary practice location
10590 N Meridian St Ste 105
Carmel, IN 46290-1028
Mailing address
12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200
Other practice location 1
400 Celebration Pl Ste A280
Celebration, FL 34747-4970
Phone (407) 425-1566
Other practice location 2
12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200
Other practice location 3
3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263
Phone (937) 294-3611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, IL, FL, OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000
10590 N Meridian St
Carmel, IN 46290-1028
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117662 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2415 N Orange Ave
Ste 700
Orlando, FL 32804
Phone (407) 303-2474
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
10590 N Meridian St
Ste 105
Carmel, IN 46290
Phone (317) 583-7800
10590 N Meridian St
#105
Carmel, IN 46290
Phone (317) 583-5400
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
Interoperability endpoints
- acoganpa349692@carlehiedirect.net
Organizations & group practices 9
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.
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Physician Assistant
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
dba Ascension Medical Group St. Vincent
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Orthopedic Centers of Colorado - Saint Joseph
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Heart Center
- Special Hospital
- Carmel, IN
- NPI 1982681748
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1083147102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE STE 1520",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4200",
"fax_number": "708-923-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10590 N MERIDIAN ST STE 105",
"city": "CARMEL",
"state": "IN",
"postal_code": "462901028",
"telephone_number": "317-583-7800"
}
],
"practiceLocations": [
{
"address_1": "400 Celebration Pl Ste A280",
"address_purpose": "LOCATION",
"city": "Celebration",
"state": "FL",
"postal_code": "347474970",
"country_code": "US",
"telephone_number": "407-425-1566",
"fax_number": "407-422-0166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12251 S 80th Ave Ste 1520",
"address_purpose": "LOCATION",
"city": "Palos Heights",
"state": "IL",
"postal_code": "604631290",
"country_code": "US",
"telephone_number": "708-923-4200",
"fax_number": "708-923-4201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3533 Southern Blvd Ste 5650",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291263",
"country_code": "US",
"telephone_number": "937-294-3611",
"fax_number": "937-294-9010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COGAN",
"first_name": "AMY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "10004787A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085008955",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117662",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.005054RX",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.