Individual provider Active NPI

Amanda Kay Goins, NP

  • Family Nurse Practitioner
  • Marion, IN
National Provider Identifier
1255815379
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008383A Issued in IN
Practice address
1320 W Spencer Ave
Marion, IN 46952-3415
Phone
(765) 613-0111
Fax
(765) 573-5660
NPI assigned
Sep 25, 2018
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 71008383A IN Primary
Primary Care Nurse Practitioner 363LP2300X 71008383B IN

Addresses

Primary practice location

1320 W Spencer Ave
Marion, IN 46952-3415

Mailing address

1320 W Spencer Ave
Marion, IN 46952-3415
Phone (765) 613-0111

Other practice location 1

3919 W Jefferson Blvd Ste B
Fort Wayne, IN 46804-6811
Phone (260) 999-6924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.goinsfnp.p77@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190130002765 IN Practitioner - Nurse Practitioner 1951646850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1320 W Spencer Ave
Marion, IN 46952-3415
Phone (765) 613-0111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008383BINMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RP Care LLC Family CurrentSince Aug 28, 2019 Accepting new patients
American Health Network of Indiana LLC CurrentSince Feb 7, 2022 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Feb 7, 2022 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

1320 W Spencer Ave
Marion, IN 46952
Phone (765) 613-0111

Interoperability endpoints

  • Direct secure messaging: agoins211446@direct.optum.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1255815379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W SPENCER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523415",
            "telephone_number": "765-613-0111",
            "fax_number": "765-573-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W SPENCER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523415",
            "telephone_number": "765-613-0111",
            "fax_number": "765-573-5660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 W Jefferson Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468046811",
            "country_code": "US",
            "telephone_number": "260-999-6924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOINS",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008383A",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71008383B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.goinsfnp.p77@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1320 W Spencer Ave",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469523415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.