Individual provider Active NPI

Amanda Lynn Hartman, APRN

  • Primary Care Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1447507017
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
53-75743-081 Issued in KS
Practice address
2721 SE 10TH St
Topeka, KS 66607-1706
Phone
(785) 783-8453
Fax
(785) 783-8469
NPI assigned
Aug 13, 2012
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 53-75743-081 KS Primary

Addresses

Primary practice location

2721 SE 10TH St
Topeka, KS 66607-1706

Mailing address

2721 SE 10TH St
Topeka, KS 66607-1706
Phone (785) 783-8453

Other practice location 1

1700 SW College Ave # 140
Topeka, KS 66621-1101
Phone (785) 670-1470

Other identifiers 2

IdentifierTypeStateIssuer
MB2693996OtherKSDEA
12436827OtherNVCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20140424001787 KS Practitioner - Nurse Practitioner 0143452409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Housing AuthorityGroup PAC ID 9537423421, 3 clinicians

Practice addresses (Care Compare)

2721 SE 10TH St
Pine Ridge Family Health Center
Topeka, KS 66607-1706
Phone (785) 783-8453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75743-081KSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Housing Authority Family CurrentSince May 8, 2019 Accepting new patients
Kansas Carenow Urgent Care LLC PastSince Jan 1, 2017 Accepting new patients

Locations

2721 SE 10th St
Topeka, KS 66607
Phone (785) 357-8842

Interoperability endpoints

  • Direct secure messaging: amanda.hartman.1@33888.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26834/brand/1/csg/1/fhir/r4

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, 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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1447507017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SE 10TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666071706",
            "telephone_number": "785-783-8453",
            "fax_number": "785-783-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SE 10TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666071706",
            "telephone_number": "785-783-8453",
            "fax_number": "785-783-8469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 SW College Ave # 140",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666211101",
            "country_code": "US",
            "telephone_number": "785-670-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-75743-081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "MB2693996",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12436827",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.