Individual provider Active NPI

Amy Marie Cosma, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, RI
National Provider Identifier
1245865252
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0028291 Issued in OH
Practice address
42 Basswood Dr
Bristol, RI 02809-4912
Phone
(401) 655-2031
Fax
(937) 606-3077
NPI assigned
Mar 10, 2020
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0028291 OH Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 0024186160 VA

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250724002472 OH Practitioner - Nurse Practitioner 6608383732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4735 Beldar St NW
Canton, OH 44718-3648
Phone (330) 493-9822

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028291OHMDPsychiatric/Mental Health Nurse Practitioner
0024186160VAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Amory Psychiatry and Wellness Psychiatric/Mental Health CurrentSince Dec 6, 2022 Accepting new patients
Western Tidewater Community Mental CurrentSince Aug 18, 2015 Accepting new patients
A Knew You and Wellness LLC CurrentSince Nov 3, 2024 Accepting new patients
New Horizons Psychiatric Counseling and Pain Management Services LLC CurrentSince Jul 11, 2025 Accepting new patients
A Child and Family Psychiatry LLC PastSince Mar 1, 2020 Accepting new patients
Accurate Nursing Services, Inc. PastSince Oct 15, 2023 Accepting new patients

Locations

4735 Belpar St NW
Canton, OH 44718
Phone (330) 417-9552

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 297-6746

1801 S Church St
Ste 6
Smithfield, VA 23430

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-2222

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

Interoperability endpoints

  • Direct secure messaging: amy.cosma.1@24900.direct.athenahealth.com

Organizations & group practices 6

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1245865252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 BOWER RD",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446579603",
            "telephone_number": "330-205-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BASSWOOD DR",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028094912",
            "telephone_number": "401-655-2031",
            "fax_number": "937-606-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4735 Belpar St NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447183648",
            "country_code": "US",
            "telephone_number": "330-493-9822",
            "fax_number": "330-362-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Belden Village St NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447183652",
            "country_code": "US",
            "telephone_number": "330-754-6250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Commercial Ln",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348148",
            "country_code": "US",
            "telephone_number": "757-942-1069",
            "fax_number": "757-925-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSMA",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0028291",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024186160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

Verify at the official NPI Registry.