Individual provider Active NPI

Amy Lee Carpenter, FNP-BC

  • Family Nurse Practitioner
  • Abingdon, VA
National Provider Identifier
1437688116
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174903 Issued in VA
Practice address
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone
(276) 258-1000
NPI assigned
Jun 7, 2017
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 0024174903 VA Primary

Addresses

Primary practice location

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664

Mailing address

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 1

138 E Cross Roads Dr
Lebanon, VA 24266-5908
Phone (276) 971-6043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 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
I20180427000140 VA Practitioner - Nurse Practitioner 0648534636 Reassigns benefits to 3 organizations
I20250124001716 TN Practitioner - Nurse Practitioner 0648534636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-Cities Regional Emergency Physicians, PCGroup PAC ID 3678859477, 118 clinicians
Western Virginia Regional Emergency Physicians LLCGroup PAC ID 4183991227, 88 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Merit-based Incentive Payment System (MIPS)

Final score
75.12 of 100Reported as group
Quality
64.75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174903VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Regional Counseling Service Inc CurrentSince Oct 19, 2022 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC CurrentSince Oct 1, 2024 Accepting new patients
Southwestern Virginia Mental Health Institute CurrentSince Jun 22, 2021 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC CurrentSince Apr 1, 2018 Accepting new patients
Holston Medical Group PC CurrentSince Nov 3, 2024 Accepting new patients
Southwestern Virginia Mental Health Institute CurrentSince Jun 22, 2021 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

105 W Stone Dr
Ste 1F
Kingsport, TN 37660
Phone (423) 230-2420

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

631 Campus Dr
Abingdon, VA 24210
Phone (276) 676-3870

1114 E Main St
Ste 4
Lebanon, VA 24266
Phone (276) 883-5050

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

340 Bagley Cir
Marion, VA 24354
Phone (276) 783-1200

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1437688116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 E Cross Roads Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242665908",
            "country_code": "US",
            "telephone_number": "276-971-6043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "AMY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-08-04",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.