Individual provider Active NPI

Amelia Holmes, NP

  • Nurse Practitioner
  • West Plains, MO
National Provider Identifier
1306997747
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95004233 Issued in CA
Practice address
181 N Kentucky Ave
Suite 100
West Plains, MO 65775-2089
Phone
(417) 257-5911
Fax
(417) 257-5913
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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 131292 MO
Nurse Practitioner 363L00000X 95004233 CA Primary

Addresses

Primary practice location

181 N Kentucky Ave
Suite 100
West Plains, MO 65775-2089

Mailing address

181 N Kentucky Ave
Suite 100
West Plains, MO 65775-2089
Phone (417) 257-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 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
I20160919000133 TX Practitioner - Nurse Practitioner 8022074517 Reassigns benefits to 2 organizations
I20190208002229 NV Practitioner - Nurse Practitioner 8022074517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

10030 W Sahara Ave
Las Vegas, NV 89117-6013
Phone (702) 570-8105

10652 S Eastern Ave
Henderson, NV 89052-4952
Phone (702) 476-2800

2202 W Craig Rd
North Las Vegas, NV 89032-3018
Phone (702) 826-3200

2269 N Green Valley Pkwy
Henderson, NV 89014-5025
Phone (702) 855-0500

4075 S Durango Dr
Suite 108
Las Vegas, NV 89147-4164
Phone (701) 701-9509

5570 Camino Al Norte
Suite 1
North Las Vegas, NV 89031-0809
Phone (702) 657-0756

585 College Dr
Suite C
Henderson, NV 89015-1542
Phone (725) 777-3200

5891 E Charleston Blvd
Suite 150
Las Vegas, NV 89142-1053
Phone (725) 777-3119

6440 Centennial Ctr Blvd
Suite 110
Las Vegas, NV 89149-4797
Phone (702) 901-8320

7040 S Durango Dr
Las Vegas, NV 89113-2023
Phone (702) 260-1251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 25, 2017 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jul 11, 2016 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 25, 2017 Accepting new patients
Urgent Care Nevada, LLC CurrentSince Oct 17, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: ameliaholmes@omcmo.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1306997747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY AVE",
            "address_2": "SUITE 100",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752089",
            "telephone_number": "417-257-5911",
            "fax_number": "417-257-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY AVE",
            "address_2": "SUITE 100",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752089",
            "telephone_number": "417-257-5911",
            "fax_number": "417-257-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "AMELIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "131292",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.