Individual provider Active NPI

Amy Elizabeth Smith, DNP, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1447691837
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
COA.14631-NP Issued in OH
Practice address
1481 Westminster Dr
Columbus, OH 43221-3445
Phone
(614) 668-5852
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA.14631-NP OH Primary
Family Nurse Practitioner 363LF0000X COA.14631-NP OH

Addresses

Primary practice location

1481 Westminster Dr
Columbus, OH 43221-3445

Mailing address

1481 Westminster Dr
Columbus, OH 43221-3445
Phone (614) 668-5852

Other practice location 1

2431 Quarry Lake Dr
Columbus, OH 43204-4947
Phone (614) 668-5852

Other practice location 2

1000 Atcheson St
Columbus, OH 43203-1353
Phone (614) 252-4941

Other names 1

  • Amy Elizabeth Evert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220415000476 OH Practitioner - Nurse Practitioner 4789819848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Healthcare Partners of Central Ohio IncGroup PAC ID 3971499385, 28 clinicians

Practice addresses (Care Compare)

65 Messimer Dr
Newark, OH 43055-1874
Phone (740) 522-8477

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Partners of Central Ohio Inc CurrentSince Dec 21, 2021 Accepting new patients

Locations

8402 Blackjack Rd
Mount Vernon, OH 43050
Phone (740) 397-0442

65 Messimer Dr
Unit 2
Newark, OH 43055
Phone (419) 545-5130

65 Messimer Dr
Newark, OH 43055
Phone (740) 788-3400

Interoperability endpoints

  • Direct secure messaging: amy.smith.1@19222.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1447691837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 WESTMINSTER DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213445",
            "telephone_number": "614-668-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 WESTMINSTER DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213445",
            "telephone_number": "614-668-5852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2431 Quarry Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432044947",
            "country_code": "US",
            "telephone_number": "614-668-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Atcheson St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432031353",
            "country_code": "US",
            "telephone_number": "614-252-4941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "DNP, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.14631-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14631-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "EVERT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.