Individual provider Active NPI

Amy Christine Roby

  • Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1477158277
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28124852A Issued in IN
Practice address
2401 W University Ave Ste 300
Muncie, IN 47303-3428
Phone
(765) 751-5405
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28124852A IN
Nurse Practitioner 363L00000X 28124852A IN Primary

Addresses

Primary practice location

2401 W University Ave Ste 300
Muncie, IN 47303-3428

Mailing address

1004 Fairmount Ave
Jonesboro, IN 46938-1342
Phone (765) 517-1695

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
I20210202003120 IN Practitioner - Nurse Practitioner 3072927037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Health Ball Memorial Physicians IncGroup PAC ID 9537072640, 286 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2525 W University Ave
Suite 300
Muncie, IN 47303-3432
Phone (765) 281-2000

Hospital & facility affiliations

  • Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Iu Health Medical Group, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

400 Pilgrim Blvd
Hartford City, IN 47348
Phone (765) 348-4989

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2525 W University Ave
Ste 300
Muncie, IN 47303
Phone (765) 289-5420

2525 W University Ave
Muncie, IN 47303
Phone (317) 289-6166

2401 W University Ave
Ste 300
Muncie, IN 47303
Phone (765) 751-5405

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2401 W University Ave
Fl 8
Muncie, IN 47303
Phone (765) 282-5822

1710 S Spiceland Rd
New Castle, IN 47362
Phone (765) 289-5420

510 W Votaw St
Portland, IN 47371
Phone (260) 726-2890

473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004

Organizations & group practices 3

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1477158277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 FAIRMOUNT AVE",
            "city": "JONESBORO",
            "state": "IN",
            "postal_code": "469381342",
            "telephone_number": "765-517-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE STE 300",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-751-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28124852A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28124852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.