Amanda West
Individual provider Active NPI Family Nurse Practitioner · Rome, OH
NPI 1134865637 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1134865637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0033927 (OH)
- Practice address
- 6109 Kampf CT
Rome, OH 44085-9448 - Phone
- (440) 969-4173
- Fax
- (440) 377-6524
- NPI assigned
- May 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Hospitals Geneva Medical Center
University Hospitals Medical Group Inc
Apogee Medical Group, Florida Inc
Practice addresses (Care Compare)
870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141
951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111
Hospital & facility affiliations
- Parrish Medical Center
- Uhhs Memorial Hospital of Geneva
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, FL
- 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 |
|---|---|---|---|---|
| I20240402000549 | OH | Practitioner - Nurse Practitioner | 3577937747 | Reassigns benefits to 2 organizations |
| I20251126004258 | FL | Practitioner - Nurse Practitioner | 3577937747 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.367589 | OH | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Current |
Accepting new patients | |
| Apogee Medical Group, Florida Inc | Current |
Accepting new patients | |
| University Hospitals Medical Group Inc | Current |
Accepting new patients | |
| Tender Home Health LLC | Home Health | Current |
Accepting new patients |
Locations
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
11100 Euclid Ave
Cleveland Heights, OH 44106
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
Interoperability endpoints
- awest303597@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN.367589 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0033927 | OH | Yes |
Addresses
Primary practice location
6109 Kampf CT
Rome, OH 44085-9448
Mailing address
6109 Kampf CT
Rome, OH 44085-9448
Phone (440) 969-4173
Other providers in Rome, OH
- Margaret A Sartor
- Carol Ann Schultz
- Sarah Schwentker
- Catherine Sieracki
- South Central Ambulance District
- Anita K. Whitlock
All providers in Rome, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. 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.