Individual provider Active NPI

Amanda Adkins, APRN

  • Family Nurse Practitioner
  • Waverly, OH
National Provider Identifier
1376432534
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0039624 Issued in OH
Practice address
219 W Emmitt Ave
Waverly, OH 45690-1181
Phone
(937) 544-2222
NPI assigned
Jul 1, 2025
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 APRN.CNP.0039624 OH Primary

Addresses

Primary practice location

219 W Emmitt Ave
Waverly, OH 45690-1181

Mailing address

1001 Suck Run Rd
Manchester, OH 45144-8349
Phone (937) 779-6629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250718002866 OH Practitioner - Nurse Practitioner 8022524818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addiction Outreach Clinic LTDGroup PAC ID 5294183893, 11 clinicians
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

819 McKay CT
Suite 102
Boardman, OH 44512-5771
Phone (330) 259-4849

846 State Route 28
Milford, OH 45150-1901
Phone (513) 831-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0039624OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Outreach Clinic LTD CurrentSince Aug 1, 2025 Accepting new patients
CG Medical Associates Inc CurrentSince Jul 7, 2025 Accepting new patients
Doctors Urgent Care Offices Medical Group Inc PastSince Jul 7, 2025 Accepting new patients
Carefirst Urgent Care, LLC Past Accepting new patients

Locations

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

184 Currie Hall Pkwy
Ste 2
Kent, OH 44240
Phone (330) 967-8077

846 State Route 28
Milford, OH 45150
Phone (513) 831-8555

5342 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-2200

819 McKay Ct
Ste 102
Youngstown, OH 44512
Phone (330) 259-4849

Organizations & group practices 4

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1376432534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SUCK RUN RD",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451448349",
            "telephone_number": "937-779-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W EMMITT AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901181",
            "telephone_number": "937-544-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0039624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.