Terri Hunt Amos, ARNP
Individual provider Active NPI Nurse Practitioner · Bowling Green, KY
NPI 1104887314 · NPPES record last updated Apr 24, 2008
Key facts
- NPI
- 1104887314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4731P (KY)
- Practice address
- 1320 Andrea St
Bowling Green, KY 42104 - Phone
- (270) 746-5455
- Fax
- (270) 746-5688
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tim Long MD PSC
Practice addresses (Care Compare)
1320 Andrea St
Bowling Green, KY 42104-3334
Phone (270) 746-5455
Hospital & facility affiliations
- The Medical Center (Bowling Green)
- Tristar Greenview Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060106000022 | KY | Practitioner - Nurse Practitioner | 0042233942 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4731P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tim Long M.D., PSC | Current |
Accepting new patients | |
| NP Group of Tim Long MD PSC | Past |
Accepting new patients |
Locations
1320 Andrea St
Bowling Green, KY 42104
Phone (270) 746-5455
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBCCBA/Endpoint/EBCCBA
- https://fhir4.healow.com/fhir/r4/EBCCBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4731P | KY | Yes |
Addresses
Primary practice location
1320 Andrea St
Bowling Green, KY 42104
Mailing address
103 Carroll Rd
Morgantown, KY 42261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78018199 | Medicaid | KY | |
| 000000489598 | Other | KY | ANTHEM BC/BS |
| 7100028630 | Other | KY | MEDICAID GROUP |
Other providers in Bowling Green, KY
- American Health Management, Inc.
- Akhtar Amin
- Amm Interpreting LLC
- Evans Collins Amoah
- Melynda Amorim
- Amy Brickler
- Anam Cara, LLC
- Anderson Aesthetics and Reconstructive Surgery PLLC
- Amelia Jane Anderson-Mooney
- Anastasia Grace Anderson
All providers in Bowling Green, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.