Individual provider Active NPI

Amanda L Morris, MD

  • Family Medicine Physician
  • Fishers, IN
National Provider Identifier
1316969579
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01056469 Issued in IN
Practice address
13914 Southeastern Pkwy
Suite 208
Fishers, IN 46037-7127
Phone
(317) 415-9900
Fax
(317) 415-9910
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01056469 IN Primary

Addresses

Primary practice location

13914 Southeastern Pkwy
Suite 208
Fishers, IN 46037-7127

Mailing address

13914 Southeastern Pkwy Ste 208
Fishers, IN 46037-7125
Phone (317) 415-9900

Other identifiers 1

IdentifierTypeStateIssuer
200527810MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.morris@74938637221892.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 15, 2016 through Aug 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01056469INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Physicians of Fishers, LLC PastSince Nov 13, 2022 Accepting new patients
DRS Whittington & Whittington PTR PastSince Aug 15, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.morris@74938637221892.direct.elationemr.com

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1316969579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY STE 208",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377125",
            "telephone_number": "317-415-9900",
            "fax_number": "317-415-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY",
            "address_2": "SUITE 208",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377127",
            "telephone_number": "317-415-9900",
            "fax_number": "317-415-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01056469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200527810",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.morris@74938637221892.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "Elation Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13914 Southeastern Pkwy",
            "address_2": "Suite 208",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460377127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.