Individual provider Active NPI

Amy Renee' Burchett

  • Psychiatric/Mental Health Nurse Practitioner
  • Mooresville, IN
National Provider Identifier
1255905246
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28193915A Issued in IN
Practice address
480 N Town Center Rd # 436
Mooresville, IN 46158-1379
Phone
(812) 585-3626
Fax
(800) 420-0273
NPI assigned
May 14, 2021
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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 28193915A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28193915A IN Primary

Addresses

Primary practice location

480 N Town Center Rd # 436
Mooresville, IN 46158-1379

Mailing address

480 N Town Center Rd
Mooresville, IN 46158-1379

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
I20211014003233 IN Practitioner - Nurse Practitioner 3274931621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Community Health Medical Center IncGroup PAC ID 3971908252, 2 clinicians

Practice addresses (Care Compare)

111 Arrowhead TRL
Bedford, IN 47421-5820
Phone (812) 203-4718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Community Health Medical Center, Inc. CurrentSince Sep 20, 2021 Accepting new patients
Mind Body Health & Wellness, LLC CurrentSince May 11, 2025 Accepting new patients

Locations

111 Arrowhead Trl
Bedford, IN 47421
Phone (812) 203-4718

480 N Town Center Rd
Mooresville, IN 46158
Phone (812) 585-3626

Interoperability endpoints

  • Direct secure messaging: amy.burchett.1@14940.direct.athenahealth.com

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, 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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1255905246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N TOWN CENTER RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581379",
            "fax_number": "800-420-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N TOWN CENTER RD # 436",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581379",
            "telephone_number": "812-585-3626",
            "fax_number": "800-420-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "AMY",
        "middle_name": "RENEE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28193915A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28193915A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.