Amy Elizabeth Heldenbrand, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2000161847 Issued in MO

Practice address

502 S Main St
Gallatin, MO 64640-1435

Phone

(660) 663-3751

Fax

(660) 663-3291

NPI assigned

Mar 19, 2007

Last updated

Dec 2, 2010By 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Cameron Regional Medical Center Inc

  • General Acute Care Hospital
  • Cameron, MO
  • NPI 1811905375
  Medicare reassignment NPD
• Cameron Regional Medical Center Inc

  dba Bethany Health Services Clinic

  • Multi-Specialty Clinic/Center
  • Bethany, MO
  • NPI 1033478557
  NPD
• Cameron Regional Medical Center, Inc.

  dba King City Family Health

  • Rural Health Clinic/Center
  • King City, MO
  • NPI 1861269318
  NPD
• Cameron Regional Medical Center Inc

  dba Walnut Medical Clinic

  • Rural Health Clinic/Center
  • Cameron, MO
  • NPI 1003821307
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1528182995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "address_2": "PO BOX 557",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "city": "GALLATIN",
            "state": "MO",
            "postal_code": "646401435",
            "telephone_number": "660-663-3751",
            "fax_number": "660-663-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELDENBRAND",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2000161847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420575607",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00607930",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry J Dickinson, D.O.
• Tammy Lynn Engelman
• Gallatin R-V School
• Jamie Gatz, COTA
• Tristan Rae Hamilton
• Jacob Earl Humphrey, DDS
• Stanley Earl Humphrey, DDS
• Ip Reserve (Inner Peace Reserve)
• Ip Reserve (Inner Peace Reserve)
• Kristina Renee Lee, PLPC

• Family Nurse Practitioner in Gallatin, MO
• Providers in Gallatin, 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 Dec 2, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.