Individual provider Active NPI

Amanda E Hinkle, APRN - FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chapmanville, WV
National Provider Identifier
1255658290
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN66795 Issued in WV
Practice address
386 Airport Rd
Chapmanville, WV 25508-9202
Phone
(304) 855-1200
Fax
(304) 855-1230
NPI assigned
Apr 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 66795 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN66795 WV Primary

Addresses

Primary practice location

386 Airport Rd
Chapmanville, WV 25508-9202

Mailing address

386 Airport Rd
Chapmanville, WV 25508-9202
Phone (304) 855-1200

Other identifiers 1

IdentifierTypeStateIssuer
3810017408MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20140625000043 WV Practitioner - Nurse Practitioner 4385868876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Access CorporationGroup PAC ID 2668528746, 12 clinicians

Practice addresses (Care Compare)

462 Main St
Chapmanville, WV 25508-4574
Phone (304) 855-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APRN66795WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Access Corporation Family CurrentSince May 27, 2014 Accepting new patients
Rural Health Access Corporation Psychiatric/Mental Health CurrentSince May 27, 2014 Accepting new patients

Locations

386 Airport Rd
Chapmanville, WV 25508
Phone (304) 855-1200

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1255658290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 AIRPORT RD",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255089202",
            "telephone_number": "304-855-1200",
            "fax_number": "304-855-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 AIRPORT RD",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255089202",
            "telephone_number": "304-855-1200",
            "fax_number": "304-855-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "APRN - FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "66795",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN66795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810017408",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapmanville, WV

Sources for this page

Verify at the official NPI Registry.