Individual provider Active NPI

Amy Hueston

  • Primary Care Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1558905554
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
71009539A Issued in IN
Practice address
313 S Berkley Rd
Kokomo, IN 46901-5114
Phone
(765) 457-4673
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 71009539A IN Primary

Addresses

Primary practice location

313 S Berkley Rd
Kokomo, IN 46901-5114

Mailing address

313 S Berkley Rd
Kokomo, IN 46901-5114

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.hueston.1@7598.direct.athenahealth.com St. Joseph Primary Care, LLC

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
I20191213000348 IN Practitioner - Nurse Practitioner 9133552649 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

138 N Dixon Rd
Kokomo, IN 46901-4154
Phone (765) 236-8282

8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760

Hospital & facility affiliations

  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Community Howard Regional Health Inc. Hospital, Kokomo, IN, CCN 150007
  • Memorial Hospital Hospital, Logansport, IN, CCN 150072
  • Dukes Memorial Hospital Hospital, Peru, IN, CCN 151318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Primary LLC CurrentSince Nov 18, 2019 Accepting new patients
St. Joseph Hospital & Health Center, Inc. Current Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Feb 18, 2020 Accepting new patients
St. Joseph Primary Care, LLC CurrentSince Nov 18, 2019 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Feb 18, 2020 Accepting new patients
St. Joseph Hospital & Health Center, Inc. CurrentSince Jun 1, 2022 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

313 S Berkley Rd
Kokomo, IN 46901
Phone (765) 457-4673

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

3109 W Sycamore St
Kokomo, IN 46901
Phone (765) 457-1191

Interoperability endpoints

  • Direct secure messaging: amy.hueston.3@7598.direct.athenahealth.com
  • Direct secure messaging: amy.hueston.2@7598.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1558905554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015114",
            "telephone_number": "765-457-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUESTON",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71009539A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.hueston.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Joseph Primary Care, LLC",
            "address_1": "313 S Berkley Rd",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469015114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.