Individual provider Active NPI

Amy Marie Homan, CNP

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1447515267
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8760 Issued in AZ
Practice address
1800 N Civic SQ
Goodyear, AZ 85395-2389
Phone
(623) 465-6506
NPI assigned
Jul 9, 2012
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 AP8760 AZ Primary

Addresses

Primary practice location

1800 N Civic SQ
Goodyear, AZ 85395-2389

Mailing address

1800 N Civic SQ
Goodyear, AZ 85395-2389
Phone (623) 465-6506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260624001913 NC Practitioner - Nurse Practitioner 7214185719 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

Practice addresses (Care Compare)

9425 Delegates Row
Indianapolis, IN 46240-3805

PO Box
Columbia, SC 29202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP13429OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prosano Health Solutions, Inc. CurrentSince Jun 23, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Appalachian Mountain Community Health Centers Past Accepting new patients
Prosano Health Solutions, Inc. PastSince Jun 23, 2024 Accepting new patients
Banner Physician Specialists Arizona LLC PastSince Feb 23, 2025 Accepting new patients

Locations

9321 W Thomas Rd
Ste 420
Phoenix, AZ 85037

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1447515267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N CIVIC SQ",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952389",
            "telephone_number": "623-465-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CIVIC SQ",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952389",
            "telephone_number": "623-465-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMAN",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.