Individual provider Active NPI

Amy Charlotte Sprunger, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1083241236
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009884A Issued in IN
Practice address
8401 Westfield Blvd
Indianapolis, IN 46240-2367
Phone
(317) 963-1616
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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 71009884A IN Primary

Addresses

Primary practice location

8401 Westfield Blvd
Indianapolis, IN 46240-2367

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

950 N Meridian St
Indianapolis, IN 46204-1077
Phone (317) 963-2200

Other identifiers 2

IdentifierTypeStateIssuer
267030244OtherINMEDICARE PTAN
300057996MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ASPRUNGER@IUHEALTH.ORG
Direct Messaging Address asprunger@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220210001305 IN Practitioner - Nurse Practitioner 7113310368 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc Family CurrentSince Dec 1, 2023 Accepting new patients
Indiana Clinic Critical Care LLC CurrentSince Feb 1, 2022 Accepting new patients
J & M Wellness, LLC PastSince Mar 29, 2020 Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2574 Reliable Pkwy
Chicago, IL 60686

151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280

950 N Meridian St
Indianapolis, IN 46204
Phone (317) 963-2200

Interoperability endpoints

  • Direct secure messaging: amy.sprunger.1@27404.direct.athenahealth.com
  • Direct secure messaging: asprunger@iuhealth.org
  • Direct secure messaging: asprunger@direct.iuhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1083241236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WESTFIELD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402367",
            "telephone_number": "317-963-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041077",
            "country_code": "US",
            "telephone_number": "317-963-2200",
            "fax_number": "317-963-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRUNGER",
        "first_name": "AMY",
        "middle_name": "CHARLOTTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009884A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "267030244",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300057996",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ASPRUNGER@IUHEALTH.ORG",
            "affiliation": "N",
            "address_1": "151 Pennsylvania Pkwy",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462801379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asprunger@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "950 N Meridian St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462041077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.