Individual provider Active NPI

Amy Ratke, FNP-BC

  • Registered Nurse
  • Keyser, WV
National Provider Identifier
1376082354
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R147422 Issued in MD
Practice address
1234 New Creek Hwy
Keyser, WV 26726-9505
Phone
(304) 788-9320
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 107458 WV
Registered Nurse 163W00000X R147422 MD Primary

Addresses

Primary practice location

1234 New Creek Hwy
Keyser, WV 26726-9505

Mailing address

175 Juniper Dr
Ridgeley, WV 26753-1176
Phone (301) 268-3570

Other practice location 1

10102 Country Club Rd SE
Cumberland, MD 21502-8339
Phone (301) 777-2285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20201207000476 WV Practitioner - Nurse Practitioner 2264843754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
New Creek Family Medicine PLLCGroup PAC ID 6305064189, 2 clinicians

Practice addresses (Care Compare)

1234 New Creek Hwy
Keyser, WV 26726-9505
Phone (304) 788-9320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R147422MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Creek Family Medicine PLLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

1234 New Creek Hwy
Keyser, WV 26726
Phone (304) 788-9320

Organizations & group practices 1

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 8

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1376082354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JUNIPER DR",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267531176",
            "telephone_number": "301-268-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 NEW CREEK HWY",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267269505",
            "telephone_number": "304-788-9320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10102 Country Club Rd SE",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215028339",
            "country_code": "US",
            "telephone_number": "301-777-2285",
            "fax_number": "301-777-5832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATKE",
        "first_name": "AMY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107458",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R147422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.