Amy L Werts, CNP

Individual provider Active NPI Family Nurse Practitioner · Eaton, OH

NPI 1306227244 · NPPES record last updated Apr 6, 2022

Key facts

NPI
1306227244
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APRN.CNP.17364 (OH)
Practice address
450B Washington Jackson Rd
Suite 105
Eaton, OH 45320-7601
Phone
(937) 456-8350
Fax
(937) 456-8351
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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 3

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Physicians Inc (314 clinicians)

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

450 B Washington Jackson Blvd
Suite 105
Eaton, OH 45320-7601
Phone (937) 456-8350

450 B Washington Jackson Rd
Suite 108
Eaton, OH 45320-7601
Phone (937) 456-8300

Hospital & facility affiliations

  • Kettering Health Dayton Hospital · Dayton, OH · CCN 360133
  • Kettering Health Miamisburg Hospital · Miamisburg, OH · CCN 360239
  • Kettering Health Troy Hospital · Troy, OH · CCN 360368

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150708002264 OH Practitioner - Nurse Practitioner 0547572265 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA17364-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Current
since Dec 3, 2018
Accepting new patients
Alliance Physicians Inc Current
since Dec 3, 2018
Accepting new patients
Jill B Vosler Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

450B Washington Jackson Rd
Ste 105
Eaton, OH 45320
Phone (937) 456-8300

450B Washington Jackson Rd
#R105
Eaton, OH 45320
Phone (937) 456-8350

450B Washington Jackson Rd
Ste 108
Eaton, OH 45320
Phone (937) 456-8330

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA17364-NP OH
Family Nurse Practitioner 363LF0000X APRN.CNP.17364 OH Yes

Addresses

Primary practice location

450B Washington Jackson Rd
Suite 105
Eaton, OH 45320-7601

Mailing address

450B Washington Jackson Rd
Suite 105
Eaton, OH 45320-7600
Phone (937) 456-8350

Other identifiers

IdentifierTypeStateIssuer
0134909MedicaidOH
H348791OtherOHMEDICARE

Other names

  • Amy L Hughes Former name

Electronic endpoints

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address awerts567630@direct.ketteringhealth.org

Other providers in Eaton, OH

All providers in Eaton, OH · Family Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.