Individual provider Active NPI

Amy L Werts, CNP

  • Family Nurse Practitioner
  • Eaton, OH
National Provider Identifier
1306227244
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.17364 Issued in 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
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

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

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 names 1

  • Amy L Hughes Former name

Electronic endpoints 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150708002264 OH Practitioner - Nurse Practitioner 0547572265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 0840104360, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA17364-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Dec 3, 2018 Accepting new patients
Alliance Physicians Inc CurrentSince 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
#R105
Eaton, OH 45320
Phone (937) 456-8350

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

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

Interoperability endpoints

  • Direct secure messaging: awerts567630@direct.ketteringhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1306227244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "address_2": "SUITE 105",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207600",
            "telephone_number": "937-456-8350",
            "fax_number": "937-456-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450B WASHINGTON JACKSON RD",
            "address_2": "SUITE 105",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453207601",
            "telephone_number": "937-456-8350",
            "fax_number": "937-456-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTS",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA17364-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "450B Washington Jackson Rd",
            "address_2": "Suite 105",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453207601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awerts567630@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "450B Washington Jackson Rd",
            "address_2": "Suite 105",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453207601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HUGHES",
            "middle_name": "L",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eaton, OH

Sources for this page

Verify at the official NPI Registry.