NPIMap

Individual provider Active NPI

Amanda Rae Dewees, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1548859523
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014963 Issued in KY
Practice address
3999 Dutchmans Lane
Medical Plaza 1 Suite 3C
Louisville, KY 40207-4747
Phone
(502) 899-6842
Fax
(502) 899-6852
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 3014963 KY Primary

Addresses

Primary practice location

3999 Dutchmans Lane
Medical Plaza 1 Suite 3C
Louisville, KY 40207-4747

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001497 KY Practitioner - Nurse Practitioner 5799198420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

3999 Dutchmans LN
Suite 3C
Louisville, KY 40207-4747
Phone (502) 899-6840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014963KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Feb 3, 2021 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2021 Accepting new patients

Locations

315 E Broadway
Ste 190
Louisville, KY 40202
Phone (502) 629-2942

2440 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-3248

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

3999 Dutchmans Ln
Ste 3C
Louisville, KY 40207
Phone (502) 629-4363

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3999 Dutchmans Ln
Ste 3C
Louisville, KY 40207
Phone (502) 559-4335

Interoperability endpoints

  • Direct secure messaging: amaynard73382@direct.nortonhealthcare.org

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1548859523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LANE",
            "address_2": "MEDICAL PLAZA 1 SUITE 3C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074747",
            "telephone_number": "502-899-6842",
            "fax_number": "502-899-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEES",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-01-04",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.