Individual provider Active NPI

Amanda D Jarvis, MSN, APRN, FNP, CNP

  • Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1568793602
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0035714 Issued in OH
Practice address
915 Putnam Ave
Zanesville, OH 43701-5547
Phone
(740) 891-9000
NPI assigned
Jan 28, 2010
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0035714 OH Primary

Addresses

Primary practice location

915 Putnam Ave
Zanesville, OH 43701-5547

Mailing address

915 Putnam Ave
Zanesville, OH 43701-5547
Phone (740) 891-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240412000943 OH Practitioner - Nurse Practitioner 1456790237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Medical Family Practice LLCGroup PAC ID 4082033550, 3 clinicians
Muskingum Valley Health CentersGroup PAC ID 4789760216, 74 clinicians

Practice addresses (Care Compare)

1128 Linden Ave
Zanesville, OH 43701-2908
Phone (740) 487-4717

915 Putnam Ave
Zanesville, OH 43701-5547
Phone (740) 487-9860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0035714OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers Current Accepting new patients
Muskingum Valley Health Centers CurrentSince Feb 19, 2024 Accepting new patients
Priority Medical Family Practice, LLC CurrentSince Nov 5, 2024 Accepting new patients
Muskingum Valley Health Centers CurrentSince Feb 19, 2024 Accepting new patients
Home-Tek Property Management Solutions, LLC PastSince Apr 24, 2022 Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

316 Clark St
Cambridge, OH 43725
Phone (740) 432-7600

1205 Cambridge Rd
#100
Coshocton, OH 43812
Phone (740) 622-9433

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

1128 Linden Ave
Zanesville, OH 43701
Phone (740) 255-4008

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

Organizations & group practices 5

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 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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1568793602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PUTNAM AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437015547",
            "telephone_number": "740-891-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PUTNAM AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437015547",
            "telephone_number": "740-891-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "MSN, APRN, FNP, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0035714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.