Individual provider Active NPI

Amanda B. Bierman, NP

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1285199422
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3013109 Issued in KY
Practice address
721 S Preston St FL 2
Louisville, KY 40203-2319
Phone
(502) 583-1799
Fax
(502) 583-1792
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008760A IN
Nurse Practitioner 363L00000X 3013109 KY Primary

Addresses

Primary practice location

721 S Preston St FL 2
Louisville, KY 40203-2319

Mailing address

5200 Commerce Crossings Dr
FL 3
Louisville, KY 40229-2182
Phone (502) 253-4924

Other practice location 1

2109 Green Valley Rd
New Albany, IN 47150-4645
Phone (812) 948-2232

Other identifiers 1

IdentifierTypeStateIssuer
3013109OtherKYKY MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190226001356 IN Practitioner - Nurse Practitioner 6103165790 Reassigns benefits to 2 organizations
I20190308001889 KY Practitioner - Nurse Practitioner 6103165790 Reassigns benefits to 1 organization

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
Bluegrass Kidney Consultants PSCGroup PAC ID 0840357646, 19 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 444
New Albany, IN 47150-6809
Phone (502) 583-1799

721 S Preston St
Louisville, KY 40203-2319
Phone (502) 583-1799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008760AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Nov 18, 2021 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 18, 2021 Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

2109 Green Valley Rd
New Albany, IN 47150
Phone (812) 944-4720

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

4007 Kresge Way
Louisville, KY 40207
Phone (210) 789-6031

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1285199422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR",
            "address_2": "FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-253-4924",
            "fax_number": "502-489-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S PRESTON ST FL 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032319",
            "telephone_number": "502-583-1799",
            "fax_number": "502-583-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504645",
            "country_code": "US",
            "telephone_number": "812-948-2232",
            "fax_number": "812-945-0869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIERMAN",
        "first_name": "AMANDA",
        "middle_name": "B.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008760A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAL LICENSE",
            "identifier": "3013109",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.