Amy Michelle Archer, DO
Individual provider Active NPI Family Medicine Physician · Washington, IN
NPI 1497972251 · NPPES record last updated Jan 27, 2017
Key facts
- NPI
- 1497972251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02-003403A (IN)
- Practice address
- 2005 State St
Suite a
Washington, IN 47501-8559 - Phone
- (812) 254-4650
- Fax
- (812) 254-4081
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Kansas City College of Medicine and Surgery, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Samaritan Hospital Physician Services, Inc
Practice addresses (Care Compare)
2005 State St
Suite a
Washington, IN 47501-8559
Phone (812) 254-4650
Hospital & facility affiliations
- Preferred Home Health Care, Inc
- Good Samaritan Hospital
- Daviess Community Hospital
- Memorial Hospital and Health Care Center
- The Women'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080823000051 | IN | Practitioner - Family Practice | 9436224557 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6429 | KS | MD | General Practice Dentistry |
| 02-003403A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital | Current |
Accepting new patients | |
| Daviess County Hospital | Current |
Accepting new patients | |
| Good Samaritan Hospital Physician Services, Inc | Family Medicine | Current |
Accepting new patients |
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current |
Accepting new patients | |
| Good Samaritan Hospital Physician Services Inc. | Past | Accepting new patients |
Locations
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
2005 State St
Ste A
Washington, IN 47501
Phone (812) 254-4650
Interoperability endpoints
- acampbell122389@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6429 | KS | |
| Family Medicine Physician | 207Q00000X | 02-003403A | IN | Yes |
Addresses
Primary practice location
2005 State St
Suite a
Washington, IN 47501-8559
Mailing address
2005 State St
Suite a
Washington, IN 47501-8559
Phone (812) 254-4650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001039835 | Other | IN | ANTHEM |
| 200908640 | Medicaid | IN |
Other names
- Amy Michelle Campbell
Other providers in Washington, IN
- Traci Lyn Algiere
- Jaylynn Grace Allen
- Allergy & Asthma of Southern Indiana, PC
- Natasha Anderson
- Paul Elling Anwiler
- Assisted Living Concepts Inc
- Hannah Atwood
- Toni M Auberry
- Back in Motion Therapy, PC
- Baileigh Jordon Baker
All providers in Washington, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.