Active NPI
Amanda Louise Creamer, NP
- Psychiatric/Mental Health Nurse Practitioner
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2023017843
- Practice address
- 1432 Southwest Blvd
Jefferson City, MO 65109-2444 - Phone
- (573) 632-5560
- Fax
- (573) 632-5875
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016042432 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2023017843 | MO | Primary |
Addresses
Primary practice location
1432 Southwest Blvd
Jefferson City, MO 65109-2444
Mailing address
1432 Southwest Blvd
Jefferson City, MO 65109-2444
Phone (573) 632-5560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420040547 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170217001262 | MO | Practitioner - Nurse Practitioner | 6204119290 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1432 Southwest Blvd
Jefferson City, MO 65109-2444
Phone (573) 635-6811
Hospital & facility affiliations
- University of Missouri Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.83 of 100
- Quality
- 60.01
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 62.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016042432 | MO | MD | Family Nurse Practitioner |
| 2023017843 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
1432 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 632-5560
575B Blues Lake Pkwy
Rolla, MO 65401
Phone (573) 364-2007
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
MO
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
Hospital
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1477092906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 SOUTHWEST BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651092444",
"telephone_number": "573-632-5560",
"fax_number": "573-632-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 SOUTHWEST BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651092444",
"telephone_number": "573-632-5560",
"fax_number": "573-632-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAMER",
"first_name": "AMANDA",
"middle_name": "LOUISE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016042432",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2023017843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420040547",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "N",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "1432 Southwest Blvd",
"city": "Jefferson City",
"state": "MO",
"country_code": "US",
"postal_code": "651092444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.