Amy J Klinger, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA11760-NP Issued in OH

Practice address

5239 Columbus Rd Ste a
Granville, OH 43023-9624

Phone

(614) 924-7412

Fax

(614) 683-5850

NPI assigned

Aug 27, 2010

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy J Martin Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birch Wellness Group LLCGroup PAC ID 4284072687, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Birch Wellness Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Granville, OH
  • NPI 1427811280
  Medicare reassignment Care Compare group NPD Authorized official
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1205142270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SHANNON LN",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239423",
            "telephone_number": "614-924-7412",
            "fax_number": "614-683-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 COLUMBUS RD STE A",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239624",
            "telephone_number": "614-924-7412",
            "fax_number": "614-683-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGER",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA11760-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124238",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MARTIN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Kidwell
• Peter S Kim, MD
• Samuel Robert Kiner, DDS
• Kortni Talyor Kirtner
• Jenavieve Rose Kirwin
• Amy Knisley
• Krothapalli Dental Group Granville LLC
• L. Darlene Compton, LLC
• Nancy Lafever, MSW, LISW, LICDC
• Tracee Laing, M.D.

• Nurse Practitioner in Granville, OH
• Providers in Granville, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.