Individual provider Active NPI

Amy Michelle Dennis

  • Adult Medicine Physician
  • Hamilton, NY
National Provider Identifier
1396307682
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
309194 Issued in NY
Practice address
164 Broad St
Hamilton, NY 13346-9575
Phone
(315) 824-4600
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 309194 NY Primary

Addresses

Primary practice location

164 Broad St
Hamilton, NY 13346-9575

Mailing address

164 Broad St
Hamilton, NY 13346-9575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190920001987 NY Practitioner - Nurse Practitioner 0042540841 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
Community Memorial HospitalGroup PAC ID 6103805163, 43 clinicians

Practice addresses (Care Compare)

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-4600

3460 S St
Morrisville, NY 13408-9671
Phone (315) 684-3117

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309194NYMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Adult Medicine CurrentSince Aug 6, 2019 Accepting new patients
Community Memorial Hospital CurrentSince Aug 6, 2019 Accepting new patients
Community Memorial Hospital Past Accepting new patients

Locations

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411

3460 South St
Morrisville, NY 13408
Phone (315) 684-3117

5180 S Main St
Munnsville, NY 13409
Phone (315) 495-2690

117 W Main St
Waterville, NY 13480
Phone (315) 841-4178

Interoperability endpoints

  • Direct secure messaging: adennis@cmhhamilton.medentdirect.com

Organizations & group practices 3

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.

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1396307682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133469575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133469575",
            "telephone_number": "315-824-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "309194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

Verify at the official NPI Registry.