Amanda Dawn Wilford, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2000163306 Issued in MO

Practice address

52334 Business Highway 5
Milan, MO 63556-3040

Phone

(660) 265-1042

Fax

(660) 265-1043

NPI assigned

Apr 11, 2011

Last updated

Nov 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Albertson Former name

Medicare fee-for-service enrollment

Enrolled in MO, IA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decatur County HospitalGroup PAC ID 9739085754, 16 clinicians

Madison County Memorial HospitalGroup PAC ID 6002727179, 42 clinicians

Ringgold County HospitalGroup PAC ID 7315849973, shared by 4 NPIs, 32 clinicians

Northeast Missouri Health Council IncGroup PAC ID 1658280805, shared by 9 NPIs, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Davis County Hospital Hospital, Bloomfield, IA, CCN 161327
• Ringgold County Hospital Hospital, Mount Ayr, IA, CCN 161373
• Decatur County Hospital Hospital, Leon, IA, CCN 161340
• Wright Memorial Hospital Hospital, Trenton, MO, CCN 261309
• Northeast Regional Medical Center Hospital, Kirksville, MO, CCN 260022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.wilford.p1@direct.nmhcinc.nextgenshare.com

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.

• Decatur County Hospital

  • Critical Access Hospital
  • Leon, IA
  • NPI 1144209255
  Medicare reassignment Care Compare group NPD
• Madison County Memorial Hospital

  • Critical Access Hospital
  • Winterset, IA
  • NPI 1831104611
  Medicare reassignment Care Compare group NPD
• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Medicare reassignment NPD
• Northeast Missouri Health Council, Inc.

  dba Northeast Family Health Clinics

  • Federally Qualified Health Center (FQHC)
  • Kirksville, MO
  • NPI 1104829498

  Family

  Medicare reassignment NPD
• Clarke County Public Hospital

  dba Clarke County Hospital

  • Emergency Medicine Physician
  • Osceola, IA
  • NPI 1023045804
  Medicare reassignment NPD
• Clarke County Public Hospital

  • Critical Access Hospital
  • Osceola, IA
  • NPI 1114954997
  Medicare reassignment NPD
• Davis County Hospital

  • Specialist
  • Bloomfield, IA
  • NPI 1487740486
  Medicare reassignment NPD
• Davis County Hospital

  • Critical Access Hospital
  • Bloomfield, IA
  • NPI 1942255666
  Medicare reassignment NPD
• Monroe County Hospital

  • Critical Access Hospital
  • Albia, IA
  • NPI 1205895299
  Medicare reassignment NPD
• Monroe County Hospital

  dba MCH Clinic

  • Rural Health Clinic/Center
  • Albia, IA
  • NPI 1245469378
  Medicare reassignment NPD
• Ringgold County Hospital

  dba Spectrum Emergency Care

  • Emergency Care Clinic/Center
  • Mount Ayr, IA
  • NPI 1700935202
  Medicare reassignment NPD
• Ringgold County Hospital

  • Critical Access Hospital
  • Mount Ayr, IA
  • NPI 1811046568
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kirksville Missouri Hospital Company, LLC

  dba Northeast Regional Medical Center

  • General Acute Care Hospital
  • Kirksville, MO
  • NPI 1104899442
  Care Compare affiliation
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Care Compare affiliation
• Davis County Hospital

  • Critical Access Hospital
  • Bloomfield, IA
  • NPI 1942255666
  Care Compare affiliation
• Decatur County Hospital

  • Critical Access Hospital
  • Leon, IA
  • NPI 1144209255
  Care Compare affiliation
• Ringgold County Hospital

  • Critical Access Hospital
  • Mount Ayr, IA
  • NPI 1811046568
  Care Compare affiliation
• Ringgold County Hospital

  dba Mount Ayr Medical Clinic

  • Critical Access Hospital Clinic/Center
  • Mount Ayr, IA
  • NPI 1992854434
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1508156506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CROWN DRIVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012548",
            "telephone_number": "660-627-5757",
            "fax_number": "660-627-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52334 BUSINESS HIGHWAY 5",
            "city": "MILAN",
            "state": "MO",
            "postal_code": "635563040",
            "telephone_number": "660-265-1042",
            "fax_number": "660-265-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFORD",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2000163306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ALBERTSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sullivan County Memorial Hospital (Sullivan County Pharmacy)
• Sullivan County Memorial Hospital
• Sullivan County Memorial Hospital (Sullivan County Memorial Hospital Milan Family Practice)
• Tessland Residential Care Facility LLC
• Anthony Charles Vansoest, D.M.D.
• Michele Lyn Williams, P.T.
• Ryan Williams, M.D.
• Thomas Edwin Williams, D.O.
• Christene L. Young

• Family Nurse Practitioner in Milan, MO
• Providers in Milan, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.

Verify at the official NPI Registry.