Individual provider Active NPI

Amy R Aeschliman, FNP-C

  • Family Nurse Practitioner
  • Burlington, IN
National Provider Identifier
1134525645
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005231A Issued in IN
Practice address
425 E. 5TH Street
Suite B
Burlington, IN 46915-1758
Phone
(765) 566-5055
Fax
(765) 566-5050
NPI assigned
Nov 10, 2014
Last updated
Feb 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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 71005231A IN Primary

Addresses

Primary practice location

425 E. 5TH Street
Suite B
Burlington, IN 46915-1758

Mailing address

425 E. 5TH Street
Suite B
Burlington, IN 46915-1758
Phone (765) 566-5055

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
I20230815000250 IN Practitioner - Nurse Practitioner 9436453644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Purdue UniversityGroup PAC ID 2567373012, 28 clinicians

Practice addresses (Care Compare)

901 Prince William Rd
Suite a
Delphi, IN 46923-1759
Phone 76556430162002

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Purdue University CurrentSince Jun 21, 2023 Accepting new patients
Trustees of Purdue University CurrentSince Jun 21, 2023 Accepting new patients
Purdue University Past Accepting new patients
Trustees of Purdue University Past Accepting new patients

Locations

425 E 5th St
Ste B
Burlington, IN 46915
Phone (765) 566-5055

901 Prince William Rd
Ste A
Delphi, IN 46923
Phone (765) 494-3789

692 E Broadway St
Monon, IN 47959
Phone (800) 321-5043

715 Clinic Dr
West Lafayette, IN 47907
Phone (765) 494-3789

Interoperability endpoints

  • Direct secure messaging: amy.aeschliman.1@29127.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1134525645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E. 5TH STREET",
            "address_2": "SUITE B",
            "city": "BURLINGTON",
            "state": "IN",
            "postal_code": "469151758",
            "telephone_number": "765-566-5055",
            "fax_number": "765-566-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E. 5TH STREET",
            "address_2": "SUITE B",
            "city": "BURLINGTON",
            "state": "IN",
            "postal_code": "469151758",
            "telephone_number": "765-566-5055",
            "fax_number": "765-566-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AESCHLIMAN",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005231A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IN

Sources for this page

Verify at the official NPI Registry.