Individual provider Active NPI

Amanda M Crowley, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1326867698
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015850A Issued in IN
Practice address
5645 Lafayette Rd
Indianapolis, IN 46254-1102
Phone
(317) 387-3050
Fax
(317) 295-7044
NPI assigned
Oct 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71015850A IN Primary

Addresses

Primary practice location

5645 Lafayette Rd
Indianapolis, IN 46254-1102

Mailing address

5645 Lafayette Rd
Indianapolis, IN 46254-1102
Phone (317) 387-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20241106003953 IN Practitioner - Nurse Practitioner 6709310246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Creek Urgent Care LLCGroup PAC ID 6204271877, 4 clinicians
Oliver Family Healthcare PCGroup PAC ID 0840267670, 5 clinicians

Practice addresses (Care Compare)

5645 Lafayette Rd
Indianapolis, IN 46254-1102
Phone (317) 396-8446

5645 Lafayette Rd
Suite B
Indianapolis, IN 46254-1103
Phone (317) 387-3050

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015850AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Family Healthcare PC Family CurrentSince Oct 9, 2024 Accepting new patients

Locations

5645 Lafayette Rd
Ste A
Indianapolis, IN 46254
Phone (317) 297-5145

5645 Lafayette Rd
Ste B
Indianapolis, IN 46254
Phone (317) 387-3050

5645 Lafayette Rd
Indianapolis, IN 46254
Phone (317) 387-3050

Organizations & group practices 2

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 4

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": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1326867698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541102",
            "telephone_number": "317-387-3050",
            "fax_number": "317-295-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 LAFAYETTE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541102",
            "telephone_number": "317-387-3050",
            "fax_number": "317-295-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015850A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.