Martha Amanda Newcomb, PMH-NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fort Branch, IN
NPI 1194331371 · NPPES record last updated Sep 22, 2020
Key facts
- NPI
- 1194331371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 71010385A (IN)
- Practice address
- 123 N McCreary St
Fort Branch, IN 47648-1313 - Phone
- (812) 753-1039
- Fax
- (812) 753-1122
- NPI assigned
- Sep 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tulip Tree Health Services of Gibson County Inc
Practice addresses (Care Compare)
123 N McCreary St
Fort Branch, IN 47648-1313
Phone (812) 753-1039
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201014003785 | IN | Practitioner - Nurse Practitioner | 9234559147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- martha.newcomb@tfhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71010385A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71010385A | IN | Yes |
Addresses
Primary practice location
123 N McCreary St
Fort Branch, IN 47648-1313
Mailing address
123 N McCreary St
Fort Branch, IN 47648-1313
Phone (812) 753-1039
Other providers in Fort Branch, IN
- Kimberly Arrena Lynn
- Victoria Lynn Moore
- Murphy Chiropractic Services Inc
- Tina Marie Murphy
- Wayne Patrick Murphy
- Marilyn Joyce Ostendorf
- Whitney L Pflanz
- Herman L Reid III
- Ronald Rexing
- Vinie May Scamman
All providers in Fort Branch, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.