Amie Michelle Wilson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

214398 Issued in LA

Practice address

16065 Lamonte Dr
Hammond, LA 70403-1405

Phone

(318) 239-7045

NPI assigned

Jul 10, 2020

Last updated

Aug 13, 2020By 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

• Mrs. Amie Michelle Fyke Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA, MS, TN3 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 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stat Home Health of Northwest Louisiana, LLC Home health agency, Sibley, LA, CCN 197594
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Merit-based Incentive Payment System (MIPS)

Final score

69.56 of 100Reported as group

Quality

43.22

Promoting interoperability

88

Improvement activities

40

Cost

31.99

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2699/brand/1/csg/1/fhir/r4

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.

• Wound Care Associates LLC

  dba MedCentris Specialty Group

  • Specialist
  • Hammond, LA
  • NPI 1568793750

  MS, TN

  Medicare reassignment Care Compare group NPD
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465
  Medicare reassignment Care Compare group
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  LA

  Medicare reassignment
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  LA

  Medicare reassignment
• Perfusion Vascular Vidalia LLC

  • Vascular Surgery Physician
  • Vidalia, LA
  • NPI 1356875637
  NPD (past)
• Collierville Orthopedics and

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Collierville, TN
  • NPI 1003855420
  NPD (past)

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

• Christus Health Northern Louisiana

  dba Christus Shreveport-Bossier Health System

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation
• Stat Home Health of Northwest Louisiana, LLC

  • Home Health Agency
  • Sibley, LA
  • NPI 1508898008
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1558989046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16065 LAMONTE DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031405",
            "telephone_number": "318-239-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16065 LAMONTE DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031405",
            "telephone_number": "318-239-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMIE",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amie.wilson@medcentris.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16065 LaMonte Dr",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704031405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMIE",
            "last_name": "FYKE",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephen M Williams, MD
• Terrinka Williams
• Tracy Williams
• Tyler Devon Williams
• Jennifer Marie Wills, PHARM. D
• Diane B Wilson
• Fayola Trineice Wilson, LMT
• Michelle Antoinette Wilson
• Ralph W. Wilson, DDS
• Sarita Wilson

• Family Nurse Practitioner in Hammond, LA
• Providers in Hammond, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.