Active NPI
Amy E Nikirk, FNP
- Family Nurse Practitioner
- Bedford, IN
National Provider Identifier
1114255635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71003107A
- Practice address
- 2900 W. 16TH Street
Bedford, IN 47421-3510 - Phone
- (812) 275-1200
- Fax
- (812) 849-5630
- NPI assigned
- Nov 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28183980A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71003107A | IN | Primary |
Addresses
Primary practice location
2900 W. 16TH Street
Bedford, IN 47421-3510
Mailing address
2900 W. 16TH Street
Bedford, IN 47421-3510
Phone (812) 275-1200
Other names 1
- Amy E Wadsworth
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ANIKIRK1@direct.iuhealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000
2900 16TH St
Bedford, IN 47421-3510
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28183980A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Family | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Current | Accepting new patients |
Locations
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447
Interoperability endpoints
- anikirk1@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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health Bedford Hospital
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
dba IU Health Bedford
- Ambulance
- Bedford, IN
- NPI 1346218799
Hospital
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
dba IU Health Paoli
- Critical Access Hospital
- Paoli, IN
- NPI 1912984451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1114255635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 W. 16TH STREET",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213510",
"telephone_number": "812-275-1200",
"fax_number": "812-849-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W. 16TH STREET",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213510",
"telephone_number": "812-275-1200",
"fax_number": "812-849-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKIRK",
"first_name": "AMY",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28183980A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003107A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ANIKIRK1@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2900 W. 16Th Street",
"city": "Bedford",
"state": "IN",
"country_code": "US",
"postal_code": "474213510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "WADSWORTH",
"middle_name": "E",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.