Amanda Gunn, FNP
Individual provider Active NPI Family Nurse Practitioner · Henderson, KY
NPI 1356830996 · NPPES record last updated May 19, 2018
Key facts
- NPI
- 1356830996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3012118 (KY)
- Practice address
- 1305 N Elm St
Henderson, KY 42420-2775 - Phone
- (270) 827-7700
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Health, Inc.
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7200
2000 N Elm St
Henderson, KY 42420-2385
Phone (270) 827-3573
Hospital & facility affiliations
- Caretenders Home Health of Henderson
- Deaconess Henderson Hospital
- Deaconess Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.82 of 100
- Quality
- 91.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.82
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180531001609 | KY | Practitioner - Nurse Practitioner | 5294090858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Health, Inc. | Family | Current |
Accepting new patients |
| Methodist Health, Inc. | Current |
Accepting new patients | |
| Methodist Health, Inc. | Past | Accepting new patients |
Locations
2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
Interoperability endpoints
- agunn210399@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3012118 | KY | Yes |
Addresses
Primary practice location
1305 N Elm St
Henderson, KY 42420-2775
Mailing address
1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 631-2412
Other providers in Henderson, KY
- Kathryn Dru Greenwell Perkins
- Chelsey C. Gregory
- Justin Matthew Greubel
- Dawson Gross
- Derek Lee Groves
- Kerry Conrad Gusler
- Gregory Brent Hagedorn
- Michael R Hagerman
- James Allan Hagman
- Taylor Hall
All providers in Henderson, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.