Individual provider Active NPI

Amy Malone, FNP C

  • Registered Nurse
  • Frostburg, MD
National Provider Identifier
1447957360
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R148727 Issued in MD
Practice address
864 Sampson Rock Rd
Frostburg, MD 21532-4108
Phone
(240) 367-0180
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R148727 MD Primary

Addresses

Primary practice location

864 Sampson Rock Rd
Frostburg, MD 21532-4108

Mailing address

864 Sampson Rock Rd
Frostburg, MD 21532-4108
Phone (240) 367-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231127003439 MD Practitioner - Nurse Practitioner 7517315807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solace Family HealthcareGroup PAC ID 8123424348, 3 clinicians

Practice addresses (Care Compare)

925 Bishop Walsh Rd
Cumberland, MD 21502-1845
Phone (304) 698-7030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R148727MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Family Healthcare CurrentSince Oct 14, 2023 Accepting new patients

Locations

925 Bishop Walsh Rd
Cumberland, MD 21502
Phone (301) 759-3800

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.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1447957360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 SAMPSON ROCK RD",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215324108",
            "telephone_number": "240-367-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 SAMPSON ROCK RD",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215324108",
            "telephone_number": "240-367-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "AMY",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R148727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

Verify at the official NPI Registry.