Individual provider Active NPI

Amy Allison Sites, APRN

  • Family Nurse Practitioner
  • Crawfordsville, IN
National Provider Identifier
1104302744
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008071A Issued in IN
Practice address
1901 Lafayette Rd Ste 100
Crawfordsville, IN 47933-1098
Phone
(765) 362-7546
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 71008071A IN Primary

Addresses

Primary practice location

1901 Lafayette Rd Ste 100
Crawfordsville, IN 47933-1098

Mailing address

1901 Lafayette Rd Ste 100
Crawfordsville, IN 47933-1098
Phone (765) 362-7546

Other practice location 1

8803 N Meridian St Ste 100
Indianapolis, IN 46260-5300
Phone (317) 840-8188

Other practice location 2

4152 W State Road 56
Hanover, IN 47243-9070
Phone (812) 762-4510

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
I20180802002011 IN Practitioner - Nurse Practitioner 2961750260 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daviess County HospitalGroup PAC ID 1557271665, 67 clinicians

Practice addresses (Care Compare)

1314 E Walnut St
Washington, IN 47501-2860
Phone (812) 254-2760

202 N W St
Odon, IN 47562-1032
Phone (812) 636-7300

PO Box
Suite 32
Washington, IN 47501-0032

Hospital & facility affiliations

  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71008071AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital CurrentSince Jun 1, 2024 Accepting new patients
Daviess County Hospital Current Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince May 22, 2019 Accepting new patients
Daviess County Hospital CurrentSince Jun 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 14, 2023 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Oct 1, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 14, 2023 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince May 22, 2019 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Oct 1, 2018 Accepting new patients
FC Indiana, LLC CurrentSince Jul 15, 2018 Accepting new patients
FC Indiana, LLC CurrentSince Jul 15, 2018 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

202 N West St
Odon, IN 47562
Phone (812) 636-7300

1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: amysites@dchpm.allscriptsdirect.net

Organizations & group practices 12

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 4

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1104302744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 LAFAYETTE RD STE 100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331098",
            "telephone_number": "765-362-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LAFAYETTE RD STE 100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331098",
            "telephone_number": "765-362-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8803 N Meridian St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462605300",
            "country_code": "US",
            "telephone_number": "317-840-8188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4152 W State Road 56",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "IN",
            "postal_code": "472439070",
            "country_code": "US",
            "telephone_number": "812-762-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITES",
        "first_name": "AMY",
        "middle_name": "ALLISON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008071A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

Verify at the official NPI Registry.