Individual provider Active NPI

Amy Ivy, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Norman, OK
National Provider Identifier
1215799473
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1150882 Issued in TX
Practice address
712 Wall St
Norman, OK 73069-6360
Phone
(405) 579-7560
Fax
(405) 579-7563
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1150882 TX Primary

Addresses

Primary practice location

712 Wall St
Norman, OK 73069-6360

Mailing address

312 Watson Branch LN Apt 3325
Mansfield, TX 76063-6523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250204001611 OK Practitioner - Nurse Practitioner 4082144241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PsychplusGroup PAC ID 9234547548, 10 clinicians
Norman Behavioral Health Group, LLCGroup PAC ID 3173521341, 10 clinicians

Practice addresses (Care Compare)

4220 N Classen Blvd
Suite F
Oklahoma City, OK 73118-2416
Phone (405) 259-2333

712 Wall St
Norman, OK 73069-6360
Phone (405) 579-7560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1150882TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Behavioral Health Group, LLC CurrentSince Feb 1, 2025 Accepting new patients
Psychplus CurrentSince Jul 1, 2025 Accepting new patients

Locations

712 Wall St
Ste 100
Norman, OK 73069
Phone (405) 579-7560

712 Wall St
Norman, OK 73069
Phone (405) 579-1505

4220 N Classen Blvd
Ste F
Oklahoma City, OK 73118
Phone (405) 259-2333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1215799473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WATSON BRANCH LN APT 3325",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696360",
            "telephone_number": "405-579-7560",
            "fax_number": "405-579-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "AMY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1150882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.