Individual provider Active NPI

Amy Elizabeth Hendricks

  • Family Nurse Practitioner
  • Owens Cross Roads, AL
National Provider Identifier
1437612298
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-107986 Issued in AL
Practice address
6727 Highway 431 S Ste L
Owens Cross Roads, AL 35763
Phone
(256) 489-2870
NPI assigned
Apr 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 1-107986 AL Primary

Addresses

Primary practice location

6727 Highway 431 S Ste L
Owens Cross Roads, AL 35763

Mailing address

6727 Highway 431 S
Owens Cross Roads, AL 35763-9225
Phone (256) 489-2870

Other practice location 1

6727 Highway 431 S Ste L
Owens Cross Roads, AL 35763
Phone (256) 489-2870 ext. 25648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190606003005 AL Practitioner - Nurse Practitioner 8628301579 Reassigns benefits to 2 organizations
I20240903001999 IN Practitioner - Nurse Practitioner 8628301579 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
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

123 S Franklin Rd
Bloomington, IN 47404-5296
Phone (812) 778-3116

4903 S Emerson Ave
Indianapolis, IN 46203-5938
Phone (317) 352-5582

924 W Pike St
Physicians Urgent Care
Goshen, IN 46526-2365
Phone (574) 312-7056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-107986ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Care Inc CurrentSince Sep 7, 2021 Accepting new patients
Advantage Family Care, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Premier Urgent Care Inc. CurrentSince Jul 1, 2022 Accepting new patients
Pic Indiana PC CurrentSince Jun 15, 2024 Accepting new patients
Hunter Patterson, LLC CurrentSince May 1, 2019 Accepting new patients

Locations

1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004

5856 Highway 53
Ste 200A
Harvest, AL 35749
Phone (256) 858-1398

900 Bob Wallace Ave SW
Ste 104
Huntsville, AL 35801
Phone (256) 539-0781

6727 Highway 431 S
Ste L
Owens X Rds, AL 35763
Phone (256) 489-2870

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

1113 W 7th St
Auburn, IN 46706
Phone (260) 909-5163

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

1245 E Ireland Rd
South Bend, IN 46614
Phone (574) 312-7022

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • Direct secure messaging: amy.hendricks.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 5

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1437612298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 HIGHWAY 431 S",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639225",
            "telephone_number": "256-489-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 HIGHWAY 431 S STE L",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "35763",
            "telephone_number": "256-489-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6727 Highway 431 S Ste L",
            "address_purpose": "LOCATION",
            "city": "Owens Cross Roads",
            "state": "AL",
            "postal_code": "35763",
            "country_code": "US",
            "telephone_number": "256-489-2870 x25648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-107986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

Verify at the official NPI Registry.