Individual provider Active NPI

Amy Nalley, ARNP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1184675217
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3003856 Issued in KY
Practice address
401 E Chestnut St
Louisville, KY 40202-1622
Phone
(502) 588-4271
Fax
(502) 588-4280
NPI assigned
May 13, 2006
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3003856 KY Primary

Addresses

Primary practice location

401 E Chestnut St
Louisville, KY 40202-1622

Mailing address

401 E Chestnut St
Ste 102
Louisville, KY 40202-5700
Phone (502) 588-4271

Other identifiers 2

IdentifierTypeStateIssuer
78013752MedicaidKY
200510750MedicaidIN

Other names 1

  • Miss Amy Renee Mitchell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050311000338 KY Practitioner - Nurse Practitioner 7315991338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentuckiana Geriatric and Palliative Services PLLCGroup PAC ID 1254470479, 2 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 637-1005

15 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 588-6457

1877 Farnsley Rd
Louisville, KY 40216-4701
Phone (502) 448-8622

571 S Floyd St
Louisville, KY 40202-3818
Phone (502) 629-2398

6000 Hunting Rd
Louisville, KY 40222-6398
Phone (502) 812-1556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.89 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
67.4

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Dec 7, 2011 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner CurrentSince Dec 7, 2011 Accepting new patients
Kentuckiana Geriatric and Palliative Services PLLC CurrentSince Oct 14, 2022 Accepting new patients
University Family Practice Assoc. PSC Past Accepting new patients
University Family & Geriatric Medicine Associates Inc Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
University of Louisville Research Foundation Inc Nurse Practitioner Past Accepting new patients
University of Louisville Research Foundation Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1015 Magazine St
Louisville, KY 40203
Phone (502) 589-0727

1120 Cristland Rd
Louisville, KY 40214
Phone (502) 367-0104

1705 Herr Ln
Louisville, KY 40222
Phone (502) 426-5600

1801 Lynn Way
Louisville, KY 40222
Phone (502) 426-4513

1941 Bishop Ln
Ste 900
Louisville, KY 40218
Phone (502) 588-2500

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

2529 Six Mile Ln
Louisville, KY 40220
Phone (502) 491-5560

300 Shelby Station Dr
Louisville, KY 40245
Phone (502) 254-0009

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

401 E Chestnut St
Ste 102
Louisville, KY 40202

401 E Chestnut St
Unit 170
Louisville, KY 40202
Phone (502) 588-4271

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

530 S Jackson St
Fl 2
Louisville, KY 40202
Phone (502) 561-8844

550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686

550 S Jackson St
Fl 1
Louisville, KY 40202
Phone (502) 552-6503

550 S Jackson St
Fl 2
Louisville, KY 40202
Phone (502) 561-7448

550 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-8850

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

6000 Hunting Rd
Louisville, KY 40222
Phone (502) 426-1425

9600 Lamborne Blvd
Louisville, KY 40272
Phone (502) 935-7284

1877 Farnsley Rd
Shively, KY 40216
Phone (502) 262-7929

Interoperability endpoints

  • Direct secure messaging: avarner16970@uoflhealth-dm.org

Organizations & group practices 9

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 3

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1184675217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "address_2": "STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025700",
            "telephone_number": "502-588-4271",
            "fax_number": "502-588-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-588-4271",
            "fax_number": "502-588-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLEY",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013752",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200510750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MITCHELL",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.