Individual provider Active NPI

Amy D Scullion, FNP

  • Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1295048130
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
336357 Issued in NY
Practice address
4820 W Taft Rd
Liverpool, NY 13088-2800
Phone
(315) 448-6215
Fax
(315) 234-4417
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 336357 NY Primary

Addresses

Primary practice location

4820 W Taft Rd
Liverpool, NY 13088-2800

Mailing address

4820 W Taft Rd
Liverpool, NY 13088-2800
Phone (315) 448-6215

Other identifiers 1

IdentifierTypeStateIssuer
03247629MedicaidNY

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
I20110215000854 NY Practitioner - Nurse Practitioner 6800076332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
89.84
Promoting interoperability
100
Improvement activities
40
Cost
78.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology of Central New York, PC CurrentSince Mar 1, 2019 Accepting new patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients
Hematology-Oncology Associates of Cny, PC Nurse Practitioner PastSince Aug 15, 2025 Accepting new patients

Locations

5490 Cobbler Way
Camillus, NY 13031

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

Interoperability endpoints

  • Direct secure messaging: ascullion@hiemail.healtheconnections.org
  • Direct secure messaging: ascullion2381995@direct.trinity-health.org

Organizations & group practices 3

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1295048130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-448-6215",
            "fax_number": "315-234-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-448-6215",
            "fax_number": "315-234-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLION",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "336357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03247629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.