Individual provider Active NPI

Amelia Renee Hinkleman, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1275045593
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308509 Issued in NY
Practice address
47 Plaza St W
Brooklyn, NY 11217-3905
Phone
(718) 789-4332
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308509 NY Primary

Addresses

Primary practice location

47 Plaza St W
Brooklyn, NY 11217-3905

Mailing address

401 E 80TH St Apt 5D
New York, NY 10075-0648
Phone (419) 789-9518

Other practice location 1

30 E 33rd St Fl 5
New York, NY 10016-5337
Phone (212) 366-4459

Other identifiers 1

IdentifierTypeStateIssuer
05383486MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahinkleman370456@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200814001749 NY Practitioner - Nurse Practitioner 8022434570 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 1, 2020 Accepting new patients
North Shore-Lij Medical Group P.C. CurrentSince Apr 8, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Apr 8, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Apr 8, 2024 Accepting new patients
New York University CurrentSince Aug 1, 2020 Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

600 Community Dr
Ste 400
Manhasset, NY 11030
Phone (516) 600-1100

330 S Service Rd
Melville, NY 11747

27005 76th Ave
Rm 4000
New Hyde Park, NY 11040

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ahinkleman370456@nyumc.direct-ci.com
  • Direct secure messaging: ahinkleman270748@northwell.direct-ci.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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1275045593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 80TH ST APT 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750648",
            "telephone_number": "419-789-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PLAZA ST W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173905",
            "telephone_number": "718-789-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E 33rd St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165337",
            "country_code": "US",
            "telephone_number": "212-366-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINKLEMAN",
        "first_name": "AMELIA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05383486",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahinkleman370456@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "47 Plaza St W",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112173905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.