Active NPI
Amy Michelle Wiley, CNP
- Acute Care Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- COA. 17530-NP
- Practice address
- 128 E. Apple St.
Dayton, OH 45409-2793 - Phone
- (937) 208-2312
- NPI assigned
- Sep 21, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA. 17530-NP | OH | Primary |
Addresses
Primary practice location
128 E. Apple St.
Dayton, OH 45409-2793
Mailing address
5401 Bayside Dr
Riverside, OH 45431-2103
Phone (937) 479-6659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Wright State University Boonshoft School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 E Apple St
Suite 6258B
Dayton, OH 45409-2932
Phone (937) 208-5055
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.17 of 100
- Quality
- 65.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA. 17530-NP | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients |
Locations
30 E Apple St
Ste 6258B
Dayton, OH 45409
Phone (937) 208-3186
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
dba Premier OBGyn
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
dba Advanced Ankle and Foot Specialists
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1487023370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 BAYSIDE DR",
"city": "RIVERSIDE",
"state": "OH",
"postal_code": "454312103",
"telephone_number": "937-479-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E. APPLE ST.",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092793",
"telephone_number": "937-208-2312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "AMY",
"middle_name": "MICHELLE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA. 17530-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.