Amanda Beth Chism

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

46978 Issued in KY

Practice address

75 Nature TRL Ste 3
Radcliff, KY 40160-9111

Phone

(270) 351-2323

Fax

(270) 351-8031

NPI assigned

Mar 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Louisville School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baptist Health Medical Group Inc 2,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health Home health agency, Owensboro, KY, CCN 187087
• Caretenders Home health agency, Elizabethtown, KY, CCN 187145
• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Health Medical Group Inc

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922401611

  KY

  Medicare reassignment NPD
• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762

  KY

  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Community Medical Associates, Inc.

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
  • NPI 1437382074

  Internal Medicine

  NPD
• Community Medical Associates, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409

  Internal Medicine

  NPD
• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147

  Hospital

  Care Compare affiliation
• Caresouth HHA Holdings of Winchester, LLC

  • Home Health Agency
  • Owensboro, KY
  • NPI 1902341399
  Care Compare affiliation
• Caretenders VS of Lincoln Trail LLC

  • Home Health Agency
  • Elizabethtown, KY
  • NPI 1992958250
  Care Compare affiliation

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1295050672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NATURE TRL STE 3",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401609111",
            "telephone_number": "270-351-2323",
            "fax_number": "270-351-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NATURE TRL STE 3",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401609111",
            "telephone_number": "270-351-2323",
            "fax_number": "270-351-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "46978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Cagle, MSW, LCSW
• Dawniella Camero
• Sheila Rochelle Kennedy Campbell
• Central Kentucky Dialysis Centers LLC
• Martin Connor Chesser, OTR/L
• Christopher Andrew Clan
• Zachary Tyler Clary, PHARMD
• Kelcie D Cobb, PA-C
• Ramona N Coffie, MD
• Felty Blake Colwell, DC

• All providers in Radcliff, KY
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.