Amy Marie Cosma, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bristol, RI
NPI 1245865252 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1245865252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0028291 (OH)
- Practice address
- 42 Basswood Dr
Bristol, RI 02809-4912 - Phone
- (401) 655-2031
- Fax
- (937) 606-3077
- NPI assigned
- Mar 10, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Horizons Psychiatric Counseling and Pain Management Services LLC
Practice addresses (Care Compare)
4735 Beldar St NW
Canton, OH 44718-3648
Phone (330) 493-9822
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20250724002472 | OH | Practitioner - Nurse Practitioner | 6608383732 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0028291 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024186160 | VA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Tidewater Community Mental | Current |
Accepting new patients | |
| Amory Psychiatry and Wellness | Psychiatric/Mental Health | Current |
Accepting new patients |
| New Horizons Psychiatric Counseling and Pain Management Services LLC | Current |
Accepting new patients | |
| A Knew You and Wellness LLC | Current |
Accepting new patients | |
| Accurate Nursing Services, Inc. | Past |
Accepting new patients | |
| A Child and Family Psychiatry LLC | Past |
Accepting new patients |
Locations
4735 Belpar St NW
Canton, OH 44718
Phone (330) 417-9552
200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208
1801 S Church St
Ste 6
Smithfield, VA 23430
135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-1981
5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117
7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471
1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484
Interoperability endpoints
- amy.cosma.1@24900.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 0024186160 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0028291 | OH | Yes |
Addresses
Primary practice location
42 Basswood Dr
Bristol, RI 02809-4912
Mailing address
11911 Bower Rd
Minerva, OH 44657-9603
Phone (330) 205-1168
Other practice location 1
4735 Belpar St NW
Canton, OH 44718-3648
Phone (330) 493-9822
Other practice location 2
4150 Belden Village St NW Ste 100
Canton, OH 44718-3652
Phone (330) 754-6250
Other practice location 3
1000 Commercial Ln
Suffolk, VA 23434-8148
Phone (757) 942-1069
Other providers in Bristol, RI
- John Enrico Coletta
- Catherine Conley
- Kathy R. Connors
- Cassandra Xavier Constantino
- Bonnie M Cooper
- Tara Lee Costa-Wallace
- Diane Marie Costa
- Tayla Aldea Costa
- Keri Costello
- Margaret Crane
All providers in Bristol, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. 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.