Active NPI
Amy Dupont, CNP
- Registered Nurse
- Shaker Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN290032
- Practice address
- 3461 Warrensville Center Rd
Suite 203
Shaker Heights, OH 44122-5260 - Phone
- (440) 312-9041
- NPI assigned
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN290032 | OH | Primary |
Addresses
Primary practice location
3461 Warrensville Center Rd
Suite 203
Shaker Heights, OH 44122-5260
Mailing address
28502 Parkwood Dr
Willowick, OH 44095-4576
Phone (440) 312-9041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080922000167 | OH | Practitioner - Nurse Practitioner | 3072680818 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rajesh Agarwal MD, LLC
Practice addresses (Care Compare)
20050 Harvard Ave
Suite 300
Warrensville Heights, OH 44122-6800
Phone (216) 751-1212
Hospital & facility affiliations
- Residence Home Care LLC
- Helping U Home Health Care, LLC
- Hospice of the Western Reserve, Inc
- Hillcrest Hospital
- Uhhs Memorial Hospital of Geneva
- Ashtabula County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN290032 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajesh Agarwal MD, LLC | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Labzone LLC | Past | Accepting new patients |
Locations
20050 Harvard Ave
Ste 300
Warrensville Heights, OH 44122
Phone (216) 751-1212
Interoperability endpoints
- adupontcoolidge65548@direct.ccf.org
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Mayfield Heights, OH
- NPI 1942422035
OH
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Clinical Medical Laboratory
- Middleburg Heights, OH
- NPI 1306283643
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
Hospital
-
- Home Health Agency
- Beachwood, OH
- NPI 1811247596
-
- Pediatric Hospice and Palliative Medicine Physician
- Cleveland, OH
- NPI 1255333753
Hospice
-
- Home Health Agency
- North Olmsted, OH
- NPI 1801270517
-
- Critical Access Hospital
- Geneva, OH
- NPI 1225128432
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1144486457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28502 PARKWOOD DR",
"city": "WILLOWICK",
"state": "OH",
"postal_code": "440954576",
"telephone_number": "440-312-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3461 WARRENSVILLE CENTER RD",
"address_2": "SUITE 203",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225260",
"telephone_number": "440-312-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPONT",
"first_name": "AMY",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN290032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.