Individual provider Active NPI

Amanda Ann Aldana, NP

  • Family Nurse Practitioner
  • Elkhart, IN
National Provider Identifier
1124671813
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009282A Issued in IN
Practice address
3421 S Main St
Elkhart, IN 46517-3125
Phone
(574) 295-7178
Fax
(574) 295-8822
NPI assigned
Jul 22, 2019
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 71009282A IN Primary

Addresses

Primary practice location

3421 S Main St
Elkhart, IN 46517-3125

Mailing address

1722 Stevens Ave
Elkhart, IN 46516-4001
Phone (574) 322-0528

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.aldana@goshenhealthdirect.com Health Information Exchange (HIE)

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
I20190913001524 IN Practitioner - Nurse Practitioner 5395074504 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009282AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare LLC CurrentSince Jul 14, 2020 Accepting new patients
Goshen Health System Inc CurrentSince Mar 1, 2023 Accepting new patients
Goshen Health System Inc CurrentSince Mar 1, 2023 Accepting new patients
Goshen Hospital Association Inc Current Accepting new patients
Pinnacle Healthcare, LLC CurrentSince Jul 14, 2020 Accepting new patients

Locations

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

3421 S Main St
Elkhart, IN 46517
Phone (219) 293-2548

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

303 S Main St
Ste 200
Mishawaka, IN 46544
Phone (574) 256-9790

Interoperability endpoints

  • Direct secure messaging: amanda.aldana.1@14940.direct.athenahealth.com
  • Direct secure messaging: amanda.aldana@goshenhealthdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1124671813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 STEVENS AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164001",
            "telephone_number": "574-322-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 S MAIN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465173125",
            "telephone_number": "574-295-7178",
            "fax_number": "574-295-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDANA",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009282A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.aldana@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3421 S Main St",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465173125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.