Amanda Irene Rush, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10262 Issued in OH

Practice address

4589 Kenny Rd Ste E
Columbus, OH 43220-2770

Phone

(614) 859-2288

Fax

(614) 750-1515

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Accord Behavioral Care LLC

  • Adult Mental Health Clinic/Center
  • Columbus, OH
  • NPI 1558885335
  Medicare reassignment NPD Authorized official
• Mental Health Services for Clark Co Inc

  • Multi-Specialty Clinic/Center
  • Springfield, OH
  • NPI 1598022758
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356591952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 KENNY RD STE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202770",
            "telephone_number": "614-859-2288",
            "fax_number": "614-750-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 KENNY RD STE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202770",
            "telephone_number": "614-859-2288",
            "fax_number": "614-750-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Mound St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051191",
            "country_code": "US",
            "telephone_number": "937-390-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "AMANDA",
        "middle_name": "IRENE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "10262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2917802",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Rupp
• Melinda Ann Ruppen, CDCA
• Rural Metro Fire Dept Inc
• Adam Allen Rush, M. D.
• Alice M Rush, C.R.N.A.
• Austin Rush
• Cassandra Rush, PHARMD
• Evan Michael Rush, MD
• Hillary Elizabeth Rush, LISW
• Jennifer Rush

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.