Individual provider Active NPI

Amy Charters Herron Miller, MS, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Zionsville, IN
National Provider Identifier
1366616419
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71009257A Issued in IN
Practice address
10801 N Michigan Rd
Zionsville, IN 46077-8170
Phone
(317) 732-9550
Fax
(317) 203-0929
NPI assigned
Apr 19, 2008
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71009257A IN Primary

Addresses

Primary practice location

10801 N Michigan Rd
Zionsville, IN 46077-8170

Mailing address

6229 Logansport Rd
Logansport, IN 46947-8867
Phone (574) 721-5449

Other practice location 1

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

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
I20190924002274 IN Practitioner - Nurse Practitioner 4284964834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
71009257AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Sep 13, 2019 Accepting new patients
Four County Comprehensive Mental Health Center Inc CurrentSince Sep 13, 2019 Accepting new patients

Locations

1948 W Boulevard
Kokomo, IN 46902
Phone (765) 236-1290

1015 Michigan Ave
Logansport, IN 46947

1807 Smith St
Logansport, IN 46947
Phone (574) 732-1414

800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

2355 S Business 31
Peru, IN 46970

401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565

1060 S Main St
Tipton, IN 46072
Phone (765) 675-1111

2418 Curtis Dr
Winamac, IN 46996
Phone (219) 946-7710

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1366616419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6229 LOGANSPORT RD",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469478867",
            "telephone_number": "574-721-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778170",
            "telephone_number": "317-732-9550",
            "fax_number": "317-203-0929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471526",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "fax_number": "574-739-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON MILLER",
        "first_name": "AMY",
        "middle_name": "CHARTERS",
        "credential": "MS, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-19",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71009257A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.