Individual provider Active NPI

Amanda Jane Mills, CNM

  • Advanced Practice Midwife
  • Hagerstown, MD
National Provider Identifier
1154834026
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R229795 Issued in MD
Practice address
1165 Imperial Dr
Hagerstown, MD 21740-6555
Phone
(301) 665-9098
Fax
(240) 485-3096
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R229795 MD Primary

Addresses

Primary practice location

1165 Imperial Dr
Hagerstown, MD 21740-6555

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.mills.p2@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103000724 MD Practitioner - Certified Nurse Midwife (CNM) 5395003933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

1165 Imperial Dr
Suite 300
Hagerstown, MD 21740-6556
Phone (301) 665-9098

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. CurrentSince Jan 2, 2018 Accepting new patients
Capital Women'S Care, L.L.C. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

11850 W Market Pl
Ste P
Fulton, MD 20759

1165 Imperial Dr
Hagerstown, MD 21740
Phone (301) 665-2906

1165 Imperial Dr
Ste 300
Hagerstown, MD 21740
Phone (301) 665-9098

Interoperability endpoints

  • Direct secure messaging: amanda.mills.p1@direct.cwcare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1154834026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406555",
            "telephone_number": "301-665-9098",
            "fax_number": "240-485-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R229795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.mills.p2@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1165 Imperial Dr",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217406555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.