NPIMap

Individual provider Active NPI

Amy Elizabeth Koch, FNP

  • Family Nurse Practitioner
  • Rockville, IN
National Provider Identifier
1366036451
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010895A Issued in IN
Practice address
111 W High St
Rockville, IN 47872-1735
Phone
(765) 569-2057
Fax
(765) 569-2340
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 71010895A IN Primary

Addresses

Primary practice location

111 W High St
Rockville, IN 47872-1735

Mailing address

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-4989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317001146 IN Practitioner - Nurse Practitioner 6204242266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians
Union Associated Physicians Clinic, LLCGroup PAC ID 3375687437, 230 clinicians

Practice addresses (Care Compare)

111 W High St
Rockville, IN 47872-1735
Phone (765) 569-2057

2133 S State Rd
Suite 46
Terre Haute, IN 47803-9781
Phone (812) 232-0564

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Bloomington, IN, CCN 157578
  • Visiting Nurse Association of the Wabash Valley in Home health agency, Terre Haute, IN, CCN 157015
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326
  • Hendricks Regional Health Hospital, Danville, IN, CCN 150005
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010895AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc CurrentSince Mar 15, 2021 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Aug 30, 2021 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Aug 30, 2021 Accepting new patients
Union Hospital, Inc. CurrentSince Mar 15, 2021 Accepting new patients
Union Hospital, Inc. Current Accepting new patients
Union Hospital Inc. Past Accepting new patients

Locations

111 W High St
Rockville, IN 47872
Phone (765) 569-2057

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

Organizations & group practices 6

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 9

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1366036451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042706",
            "telephone_number": "812-238-4989",
            "fax_number": "812-238-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "478721735",
            "telephone_number": "765-569-2057",
            "fax_number": "765-569-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010895A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, IN

Sources for this page

Verify at the official NPI Registry.