Individual provider Active NPI

Joseph Amos, FNP

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1457729915
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005717A Issued in IN
Practice address
3801 Bellemeade Ave
Ste 200E
Evansville, IN 47714-0115
Phone
(812) 485-1780
Fax
(812) 485-1775
NPI assigned
Sep 14, 2015
Last updated
May 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71005717A IN
Family Nurse Practitioner 363LF0000X 71005717A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave
Ste 200E
Evansville, IN 47714-0115

Mailing address

3801 Bellemeade Ave Ste 200E
Evansville, IN 47714-0114

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.amos.2@7598.direct.athenahealth.com St Mary's Medical Group, LLC

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
I20151014000211 IN Practitioner - Nurse Practitioner 7113236118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys Health IncGroup PAC ID 9133023898, 53 clinicians

Practice addresses (Care Compare)

3801 Bellemeade Ave
Suite 110
Evansville, IN 47714-0111
Phone (812) 485-1814

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. CurrentSince Sep 12, 2015 Accepting new patients
St Mary's Medical Group, LLC Nurse Practitioner CurrentSince Feb 1, 2016 Accepting new patients
St. Mary's Health, Inc Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
Primary Physicians Network LLC Nurse Practitioner Current Accepting new patients
St Mary's Medical Group, LLC CurrentSince Feb 1, 2016 Accepting new patients
St. Mary's Health, Inc CurrentSince May 1, 2020 Accepting new patients

Locations

5927 Reliable Pkwy
Chicago, IL 60686

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3801 Bellemeade Ave
Ste 110
Evansville, IN 47714
Phone (812) 471-1200

3801 Bellemeade Ave
Ste 200E
Evansville, IN 47714
Phone (812) 485-1720

801 Saint Marys Dr
#300
Evansville, IN 47714
Phone (812) 485-5300

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

Interoperability endpoints

  • Direct secure messaging: joseph.amos.2@7598.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1457729915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 200E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "STE 200E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140115",
            "telephone_number": "812-485-1780",
            "fax_number": "812-485-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "JOSEPH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005717A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005717A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.amos.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave",
            "address_2": "Ste 200E",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.