NPIMap

Joseph Amos, FNP

Individual provider Active NPI Family Nurse Practitioner · Evansville, IN

NPI 1457729915 · NPPES record last updated May 20, 2022

Key facts

NPI
1457729915
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
71005717A (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
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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 6

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

Medicare Care Compare profile

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 Inc (53 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Ascension at Home Home health agency · Evansville, IN · CCN 157281
  • Ascension St Vincent Evansville Hospital · Evansville, IN · CCN 150100
  • Ascension St Vincent Warrick Hospital · Boonville, IN · CCN 151325
  • Deaconess Hospital Inc Hospital · Evansville, IN · CCN 150082
  • Deaconess Henderson Hospital Hospital · Henderson, KY · CCN 180056

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100 (apm)

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151014000211 IN Practitioner - Nurse Practitioner 7113236118 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71005717AINMDFamily Nurse Practitioner

Practice roles

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

Locations

5927 Reliable Pkwy
Chicago, IL 60686

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

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

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

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

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

Interoperability endpoints

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

Specialties & licenses

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

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2022.

{
    "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

All providers in Evansville, IN · Family Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.