Individual provider Active NPI

Amy Sue Hancher, FNP

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1265606065
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002129A Issued in IN
Practice address
3898 New Vision Dr
Fort Wayne, IN 46845
Phone
(260) 425-5750
Fax
(260) 425-5755
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28103281A IN
Nurse Practitioner 363L00000X 71002129A IN Primary

Addresses

Primary practice location

3898 New Vision Dr
Fort Wayne, IN 46845

Mailing address

3702 New Vision Dr
BLDG B
Fort Wayne, IN 46845-1703
Phone (260) 266-8210

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
I20171024000119 IN Practitioner - Nurse Practitioner 3072889880 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28103281AINMDRegistered Nurse
71002129AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Clinics, Inc CurrentSince Nov 18, 2020 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Nov 18, 2020 Accepting new patients
The Children's Health Center Past Accepting new patients
Parkview Health System Inc Nurse Practitioner Past Accepting new patients
Northeast Obstetrics & Gynecology, LLC Past Accepting new patients

Locations

1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641

Interoperability endpoints

  • Direct secure messaging: amy.hancher.1@23977.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1265606065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 NEW VISION DR",
            "address_2": "BLDG B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451703",
            "telephone_number": "260-266-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46845",
            "telephone_number": "260-425-5750",
            "fax_number": "260-425-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCHER",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28103281A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002129A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.