Individual provider Active NPI

Amanda Jo Marie Brinson

  • Family Nurse Practitioner
  • Linton, IN
National Provider Identifier
1144710518
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008401A Issued in IN
Practice address
1210 N 1000 W
Linton, IN 47441-5013
Phone
(812) 847-4481
NPI assigned
May 11, 2018
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008401A IN Primary
Registered Nurse 163W00000X 28184504A IN

Addresses

Primary practice location

1210 N 1000 W
Linton, IN 47441-5013

Mailing address

59 6TH St SE
Linton, IN 47441-1914
Phone (812) 798-7502

Other identifiers 1

IdentifierTypeStateIssuer
300019338MedicaidIN

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
I20181012000044 IN Practitioner - Nurse Practitioner 4587916937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians

Practice addresses (Care Compare)

1043 N 1000
Linton, IN 47441-5281
Phone (812) 847-3381

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

1206 N 1000
Suite B Foot and Ankle Center
Linton, IN 47441-5294
Phone (812) 847-3381

1210 N 1000
Greene County General Hospital Linton Clini
Linton, IN 47441-5013
Phone (812) 847-4481

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28184504AINMDRegistered Nurse
71008401AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County General Hospital Family Current Accepting new patients
Greene County General Hospital Family CurrentSince Oct 1, 2018 Accepting new patients
Greene County General Hospital Family Past Accepting new patients
Greene County General Hospital Family Past Accepting new patients

Locations

55 N Judge St
Bloomfield, IN 47424
Phone (812) 384-3508

55 N Judge St
Ste A
Bloomfield, IN 47424
Phone (812) 847-4481

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

1210 N 1000 W
Linton, IN 47441
Phone (812) 847-4481

1985 E Freedom Dr
Newberry, IN 47449
Phone (812) 847-4481

102 E Main St
Worthington, IN 47471
Phone (812) 847-4481

Interoperability endpoints

  • Direct secure messaging: amanda.brinson.1@17971.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 6

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1144710518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 6TH ST SE",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474411914",
            "telephone_number": "812-798-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N 1000 W",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415013",
            "telephone_number": "812-847-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSON",
        "first_name": "AMANDA",
        "middle_name": "JO MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008401A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28184504A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300019338",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linton, IN

Sources for this page

Verify at the official NPI Registry.