NPIMap

Individual provider Active NPI

Amy Lynn Linn, FNP

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1184710832
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
136736 Issued in MO
Practice address
1135 E Lakewood St
Suite 112
Springfield, MO 65810-2434
Phone
(417) 887-5500
Fax
(417) 887-0674
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 136736 MO Primary

Addresses

Primary practice location

1135 E Lakewood St
Suite 112
Springfield, MO 65810-2434

Mailing address

1135 E Lakewood St
Suite 112
Springfield, MO 65810-2434
Phone (417) 887-5500

Other identifiers 1

IdentifierTypeStateIssuer
425281201MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260624002937 MO Practitioner - Nurse Practitioner 1153547732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woman's Clinic, IncGroup PAC ID 9739084567, 3 clinicians

Practice addresses (Care Compare)

1135 E Lakewood St
Suite 112
Springfield, MO 65810-2403
Phone (417) 887-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136736MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womans Clinic of Branson, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amy.linn.1@482.direct.athenahealth.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.

Hospital & facility affiliations 9

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1184710832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E LAKEWOOD ST",
            "address_2": "SUITE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102434",
            "telephone_number": "417-887-5500",
            "fax_number": "417-887-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E LAKEWOOD ST",
            "address_2": "SUITE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102434",
            "telephone_number": "417-887-5500",
            "fax_number": "417-887-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINN",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "136736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425281201",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.