Active NPI
Amy Marie Livingston, ANP
- Adult Health Nurse Practitioner
- Willoughby, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11970-NP
- Practice address
- 4176 State Route 306
Willoughby, OH 44094-9203 - Phone
- (440) 918-4690
- Fax
- (440) 918-4694
- NPI assigned
- Nov 4, 2010
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11970-NP | OH | Primary |
Addresses
Primary practice location
4176 State Route 306
Willoughby, OH 44094-9203
Mailing address
PO Box 781389
Detroit, MI 48278-1389
Phone (440) 918-4690
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103171 | Medicaid | OH | |
| RN 325805 | Other | OH | CERTIFICATE OF AUTHORITY |
Other names 1
- Amy M Neczypor
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
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3239 Jefferson Ave
Suite 1
Cincinnati, OH 45220-2270
Phone 99799192769276
9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System Inc | Current | Accepting new patients | |
| Curana Health of Ohio | Current | Accepting new patients | |
| Lake Hospital System Inc | Nurse Practitioner | Current | Accepting new patients |
| Ohio Living Palliative Care Greater Toledo LLC | Current | Accepting new patients | |
| Preferred Physician Services of Ohio LLC | Current | Accepting new patients | |
| Lake Hospital System, Inc | Current | Accepting new patients |
Locations
3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483
3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697
9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800
4176 State Route 306
Willoughby, OH 44094
Phone (440) 918-4630
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1760114961
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1538899638
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
Nurse Practitioner
-
- Family Medicine Physician
- Toledo, OH
- NPI 1861981656
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1326747734
-
dba PrimeHealth Pediatrics Mentor
- Pediatrics Physician
- Mentor, OH
- NPI 1013951920
-
dba Lake Health Urgent Care and Walk In Clinic
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ohio Living Breckenridge Village
- Skilled Nursing Facility
- Willoughby, OH
- NPI 1801882808
Nursing home
-
dba Ohio Living Home Health Greater Cleveland
- Home Health Agency
- Willoughby, OH
- NPI 1821002940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497056642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781389",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781389",
"telephone_number": "440-918-4690",
"fax_number": "440-918-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4176 STATE ROUTE 306",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949203",
"telephone_number": "440-918-4690",
"fax_number": "440-918-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "AMY",
"middle_name": "MARIE",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "11970-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3103171",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE OF AUTHORITY",
"identifier": "RN 325805",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "NECZYPOR",
"middle_name": "M",
"credential": "ANP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.