Individual provider Active NPI

Amy Cogan, PA-C

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1083147102
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117662 Issued in FL
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

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220310001320 CO Practitioner - Physician Assistant 3577830272 Reassigns benefits to 1 organization
I20220804003363 IL Practitioner - Physician Assistant 3577830272 Reassigns benefits to 2 organizations
I20231220004286 FL Practitioner - Physician Assistant 3577830272 Reassigns benefits to 1 organization
I20241007001888 OH Practitioner - Physician Assistant 3577830272 Reassigns benefits to 1 organization
I20250422000134 IN Practitioner - Physician Assistant 3577830272 Reassigns benefits to 1 organization

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
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

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

LicenseStateTypeSpecialty
PA9117662FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Jul 1, 2022 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Nov 13, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 15, 2022 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Mar 20, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 13, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 15, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.