Individual provider Active NPI

Amy Foerg, MSN, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plymouth, IN
National Provider Identifier
1124846043
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28132761A Issued in IN
Practice address
2904 Miller Dr
Plymouth, IN 46563-8083
Phone
(800) 342-5653
Fax
(260) 356-6241
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28132761A IN Primary

Addresses

Primary practice location

2904 Miller Dr
Plymouth, IN 46563-8083

Mailing address

2312 S Dixon Rd
Kokomo, IN 46902-6401
Phone (765) 450-1082

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
I20250224003262 IN Practitioner - Nurse Practitioner 4688194491 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Corp CurrentSince Nov 9, 2025 Accepting new patients
Bowen Health Inc Current Accepting new patients
Bowen Health Inc CurrentSince Feb 10, 2025 Accepting new patients
Bowen Health, Inc. PastSince Nov 9, 2025 Accepting new patients

Locations

2312 S Dixon Rd
Kokomo, IN 46902
Phone (765) 210-6850

2312 S Dixon Rd
Ste 205
Kokomo, IN 46902

990 Illinois St
Plymouth, IN 46563
Phone (574) 936-9646

2904 Miller Dr
Plymouth, IN 46563
Phone (574) 385-3143

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1124846043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026401",
            "telephone_number": "765-450-1082",
            "fax_number": "765-865-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 MILLER DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638083",
            "telephone_number": "800-342-5653",
            "fax_number": "260-356-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOERG",
        "first_name": "AMY",
        "credential": "MSN, RN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28132761A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.