Individual provider Active NPI

Amanda Nicole Finke

  • Family Nurse Practitioner
  • Fairborn, OH
National Provider Identifier
1417740887
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05250218 Issued in OH
Practice address
7774 Dayton Springfield Rd Ste B
Fairborn, OH 45324-1957
Phone
(937) 340-6488
Fax
(937) 340-6512
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 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 F05250218 OH Primary

Addresses

Primary practice location

7774 Dayton Springfield Rd Ste B
Fairborn, OH 45324-1957

Mailing address

1343 N Fountain Blvd Ste 250
Springfield, OH 45504-1479
Phone (937) 328-8700

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
I20260413002594 OH Practitioner - Nurse Practitioner 3971078387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 32160
Louisville, KY 40232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05250218OHMDFamily Nurse Practitioner

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1417740887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD STE 250",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041479",
            "telephone_number": "937-328-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7774 DAYTON SPRINGFIELD RD STE B",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241957",
            "telephone_number": "937-340-6488",
            "fax_number": "937-340-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKE",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F05250218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairborn, OH

Sources for this page

Verify at the official NPI Registry.