Individual provider Active NPI

Amy Marie Fletcher, BSN, RN, MSN, FNP-C

  • Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1114438439
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00779600 Issued in NJ
Practice address
415 W Landis Ave Ste 102
Vineland, NJ 08360-8135
Phone
(888) 985-2727
NPI assigned
Oct 12, 2017
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00779600 NJ Primary
Infusion Therapy Registered Nurse 163WI0500X 26N012220700 NJ

Addresses

Primary practice location

415 W Landis Ave Ste 102
Vineland, NJ 08360-8135

Mailing address

202 Union St
Glassboro, NJ 08028-5100
Phone (856) 279-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20180502002769 NJ Practitioner - Nurse Practitioner 8325302136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain LLCGroup PAC ID 0648358234, 43 clinicians

Practice addresses (Care Compare)

2 8TH St
Hammonton, NJ 08037-3347
Phone (888) 985-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
69.54
Promoting interoperability
95
Improvement activities
40
Cost
75.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26N012220700NJMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Senacare, LLC CurrentSince May 12, 2024 Accepting new patients
Senacare, LLC CurrentSince May 12, 2024 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
New Heart Labs Diagnostics and Screening CurrentSince May 7, 2023 Accepting new patients
Advanced Spine and Pain LLC CurrentSince Mar 12, 2018 Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Mar 12, 2018 Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

429 White Horse Pike
Atco, NJ 08004
Phone (856) 753-1111

1400 Marlton Pike E
Ste 70
Cherry Hill, NJ 08034

2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500

27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 836-3200

227 Madison Ave
Lumberton, NJ 08048
Phone (609) 261-7562

1820 Corlies Ave
Ste 10A
Neptune City, NJ 07753
Phone 8889852727 ext. 610

4307 Westfield Ave
Pennsauken, NJ 08110
Phone (856) 488-0222

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

310 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-4500

415 W Landis Ave
Ste 102
Vineland, NJ 08360
Phone (609) 653-9110

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

750 Mantua Pike
Woodbury Hts, NJ 08097
Phone (215) 694-5261

Interoperability endpoints

  • Direct secure messaging: amy.fletcher.1@11679.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1114438439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 UNION ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080285100",
            "telephone_number": "856-279-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W LANDIS AVE STE 102",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608135",
            "telephone_number": "888-985-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "BSN, RN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00779600",
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NJ",
            "license": "26N012220700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.