Amy Brewer
Individual provider Active NPI Family Nurse Practitioner · Dry Prong, LA
NPI 1124758081 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1124758081
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 225791 (LA)
- Practice address
- 800 Grove St
Dry Prong, LA 71423-4379 - Phone
- (318) 569-8298
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CLHG-Winn, LLC
Practice addresses (Care Compare)
301 W Boundary Ave
Winn Parish Medical Center Physica
Winnfield, LA 71483-3427
Phone (318) 648-3000
301 W Boundary Ave B
Winn Wellness Clinic
Winnfield, LA 71483-3427
Phone (318) 209-4646
639 W Lafayette St
Winn Rural Health
Winnfield, LA 71483-3451
Phone (318) 648-3025
Hospital & facility affiliations
- Winn Parish Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20221107000085 | LA | Practitioner - Nurse Practitioner | 9830566710 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225791 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Winn, LLC | Current | Accepting new patients | |
| CLHG-Winn LLC | Current |
Accepting new patients | |
| BJC Healthcare, LLC | Past |
Accepting new patients |
Locations
639 W Lafayette St
Winnfield, LA 71483
Phone (318) 648-2220
301 W Boundary Ave
Ste B
Winnfield, LA 71483
Phone (318) 209-4646
301 W Boundary Ave
Winnfield, LA 71483
Phone (318) 628-2721
Interoperability endpoints
- amy.brewer.1@25133.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 225791 | LA | Yes |
Addresses
Primary practice location
800 Grove St
Dry Prong, LA 71423-4379
Mailing address
PO Box 37
Montgomery, LA 71454-0037
Other providers in Dry Prong, LA
- Access Health Louisiana
- Access Health Louisiana
- Central Hospice Services LLC
- Monica Vollm Chelette
- Christus Health Central Louisiana
- Danny Dee Dauzat
- Dry Prong Family Clinic, LLC
All providers in Dry Prong, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. 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.