Individual provider Active NPI

Amy R Heincker, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1447601224
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71006421A Issued in IN
Practice address
8333 Naab Rd Ste 320
Indianapolis, IN 46260-1983
Phone
(317) 338-3000
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71006421A IN Primary

Addresses

Primary practice location

8333 Naab Rd Ste 320
Indianapolis, IN 46260-1983

Mailing address

8333 Naab Rd Ste 320
Indianapolis, IN 46260-1983

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.heincker.1@7598.direct.athenahealth.com St Vincent Pediatric Subspecialties

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170110003004 IN Practitioner - Nurse Practitioner 3476834268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71006421AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Pediatric Subspecialties CurrentSince Dec 6, 2016 Accepting new patients
St Vincent Pediatric Subspecialties Pediatrics CurrentSince Dec 6, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8333 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-3103

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8333 Naab Rd
Ste 320
Indianapolis, IN 46260
Phone (317) 338-3000

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

8402 Harcourt Rd
Ste 830
Indianapolis, IN 46260
Phone (317) 338-8857

Interoperability endpoints

  • Direct secure messaging: amy.heincker.1@7598.direct.athenahealth.com

Organizations & group practices 3

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1447601224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 320",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601983",
            "telephone_number": "317-338-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINCKER",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "MSN, RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71006421A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.heincker.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Vincent Pediatric Subspecialties",
            "address_1": "8333 Naab Rd Ste 320",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.