Individual provider Active NPI

Amy L Millard, NP

  • Nurse Practitioner
  • Michigan City, IN
National Provider Identifier
1336455641
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28153814A Issued in IN
Practice address
3500 Franciscan Way
Michigan City, IN 46360-0033
Phone
(219) 877-1616
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28153814A IN Primary

Addresses

Primary practice location

3500 Franciscan Way
Michigan City, IN 46360-0033

Mailing address

3500 Franciscan Way
Michigan City, IN 46360-0033

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
I20101102001500 IN Practitioner - Nurse Practitioner 0941494033 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Physician Services PCGroup PAC ID 3476937756, 31 clinicians
Michiana Neuroscience, LLCGroup PAC ID 0941544712, 4 clinicians
Clarksville Emergency Group PCGroup PAC ID 6507277423, 149 clinicians

Practice addresses (Care Compare)

12750 Saint Francis Dr
Crown Point, IN 46307-0264
Phone (219) 738-2100

1627 E Jefferson Blvd
Mishawaka, IN 46545-7103
Phone (574) 404-6755

3500 Franciscan Way
Franciscan Health Michigan City
Michigan City, IN 46360-0021
Phone (219) 879-8511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28153814AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince May 1, 2024 Accepting new patients
Clarksville Emergency Group, PC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 14, 2024 Accepting new patients
FC Indiana, LLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 14, 2024 Accepting new patients
Clarksville Physician Services PC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
North Indiana Emergency Physicians, LLP Nurse Practitioner CurrentSince Feb 1, 2016 Accepting new patients
Midwest Emergency Associates-Munster, LLC Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

770 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 595-0630

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: abayer133506@direct.franciscanalliance.org

Organizations & group practices 10

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 2

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1336455641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 FRANCISCAN WAY",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463600033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FRANCISCAN WAY",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463600033",
            "telephone_number": "219-877-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28153814A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.