Individual provider Active NPI

Amy Marie Feugate, FNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1194486225
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12210641 Issued in AL
Practice address
13351 S Village Square Rd SE
Huntsville, AL 35803-3814
Phone
(317) 450-8915
NPI assigned
Dec 30, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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 F12210641 AL Primary

Addresses

Primary practice location

13351 S Village Square Rd SE
Huntsville, AL 35803-3814

Mailing address

13351 S Village Square Rd SE
Huntsville, AL 35803-3814

Other identifiers 1

IdentifierTypeStateIssuer
F12210641MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20241210003992 AL Practitioner - Nurse Practitioner 1355877663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quickcare Urgent LLCGroup PAC ID 9032342258, 12 clinicians
QC Wellness LLCGroup PAC ID 0547542995, 12 clinicians

Practice addresses (Care Compare)

202 Governors Dr SE
Huntsville, AL 35801-2745
Phone (256) 517-8317

7500 Hwy 72 W
Madison, AL 35758-9554
Phone (256) 964-8338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F12210641ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness, LLC CurrentSince Nov 22, 2024 Accepting new patients
Quick Care Urgent, LLC CurrentSince Nov 22, 2024 Accepting new patients
Quickcare RX LLC PastSince Nov 22, 2024 Accepting new patients
QC Pharmacy LLC PastSince Nov 22, 2024 Accepting new patients

Locations

202 Governors Dr SE
Huntsville, AL 35801
Phone (256) 517-8317

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

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.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1194486225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 S VILLAGE SQUARE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358033814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13351 S VILLAGE SQUARE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358033814",
            "telephone_number": "317-450-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUGATE",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F12210641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F12210641",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.