Active NPI
Amber Joy Brewer, NP
- Psychiatric/Mental Health Nurse Practitioner
- Lebanon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2014025533
- Practice address
- 860 Lynn St
Lebanon, MO 65536-3810 - Phone
- (888) 403-1071
- Fax
- (417) 532-6606
- NPI assigned
- Feb 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2014025533 | MO | Primary |
| Registered Nurse | 163W00000X | 2007006496 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2014025533 | MO |
Addresses
Primary practice location
860 Lynn St
Lebanon, MO 65536-3810
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
741 N. State Hwy 5
Camdenton, MO 65020-1560
Phone (888) 403-1071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366801938 | Medicaid | MO |
Other names 1
- Amber Joy Godwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412001407 | MO | Practitioner - Nurse Practitioner | 5092013813 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Compass Health Inc
Practice addresses (Care Compare)
860 Lynn St
Lebanon, MO 65536-3810
Phone (888) 403-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007006496 | MO | MD | Registered Nurse |
| 2014025533 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients |
Locations
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1800 Community
#B
Clinton, MO 64735
860 Lynn St
Lebanon, MO 65536
Phone (417) 334-8337
980 Parkside Village Ln
Osage Beach, MO 65065
Phone (573) 302-1114
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1366801938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 LYNN ST",
"city": "LEBANON",
"state": "MO",
"postal_code": "655363810",
"telephone_number": "888-403-1071",
"fax_number": "417-532-6606"
}
],
"practiceLocations": [
{
"address_1": "741 N. State Hwy 5",
"address_purpose": "LOCATION",
"city": "Camdenton",
"state": "MO",
"postal_code": "650201560",
"country_code": "US",
"telephone_number": "888-403-1071",
"fax_number": "573-317-9104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREWER",
"first_name": "AMBER",
"middle_name": "JOY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-11",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2014025533",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2007006496",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014025533",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366801938",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "GODWIN",
"middle_name": "JOY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.