NPIMap

Individual provider Active NPI

Amy Michelle Kirchner, APRN

  • Family Nurse Practitioner
  • Bartlesville, OK
National Provider Identifier
1396410254
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202077 Issued in OK
Practice address
3450 E Frank Phillips Blvd
Bartlesville, OK 74006-2406
Phone
(918) 338-3740
Fax
(918) 338-3742
NPI assigned
Aug 12, 2021
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 202077 OK Primary

Addresses

Primary practice location

3450 E Frank Phillips Blvd
Bartlesville, OK 74006-2406

Mailing address

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 403-7089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220604000016 OK Practitioner - Nurse Practitioner 8628456571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202077OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 15, 2024 Accepting new patients
Aegis Health Services LLC CurrentSince Apr 1, 2022 Accepting new patients
St. John Physicians, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Generations Family Medical Clinic, LLC CurrentSince Sep 15, 2022 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients
Ahs Oklahoma Physician Group LLC PastSince Sep 15, 2022 Accepting new patients

Locations

3450 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-2273

3450 E Frank Phillips Blvd
Ste 200
Bartlesville, OK 74006
Phone (918) 331-2444

400 SE Frank Phillips Blvd
Bartlesville, OK 74003
Phone (918) 333-3136

235 W 6th St
Chelsea, OK 74016
Phone (918) 789-3146

105 S Bryant Ave
Ste 304
Edmond, OK 73034
Phone (405) 341-1557

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11499/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 6

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 6

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1396410254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-403-7089",
            "fax_number": "918-744-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062406",
            "telephone_number": "918-338-3740",
            "fax_number": "918-338-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "202077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.