Individual provider Active NPI

Amy Goodpaster, MSN- FNP

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1518639640
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011641A Issued in IN
Practice address
11495 N Penn St Ste 270
Carmel, IN 46032-5636
Phone
(317) 938-4559
Fax
(317) 527-4704
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011641A IN Primary

Addresses

Primary practice location

11495 N Penn St Ste 270
Carmel, IN 46032-5636

Mailing address

583 Windborough
Brownsburg, IN 46112-9341
Phone (317) 965-6260

Other identifiers 1

IdentifierTypeStateIssuer
1518639640.OtherINNPI

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
I20211117003053 IN Practitioner - Nurse Practitioner 3173912813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Be Well Family Care LLCGroup PAC ID 1658642228, 7 clinicians

Practice addresses (Care Compare)

12430 Clark St
Carmel, IN 46032-7645
Phone 31793845597

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
71011641AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Family Care, LLC CurrentSince Oct 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients
Be Well Family Care Family Past Accepting new patients

Locations

11495 Pennsylvania St
Ste 270
Carmel, IN 46032
Phone (317) 938-4559

12430 Clark St
Carmel, IN 46032
Phone (317) 938-4559

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22341/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1518639640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 WINDBOROUGH",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461129341",
            "telephone_number": "317-965-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11495 N PENN ST STE 270",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325636",
            "telephone_number": "317-938-4559",
            "fax_number": "317-527-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODPASTER",
        "first_name": "AMY",
        "credential": "MSN- FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011641A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518639640.",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.