Amy Jennifer Bach, N.P.
Individual provider Active NPI Family Nurse Practitioner · Waterbury, CT
NPI 1598046971 · NPPES record last updated Sep 9, 2013
Key facts
- NPI
- 1598046971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5368 (CT)
- Practice address
- 56 Franklin St
St Mary'S Hospital
Waterbury, CT 06706-1253 - Phone
- (203) 709-6004
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgetown Memorial Hospital
Practice addresses (Care Compare)
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.46 of 100
- Quality
- 47.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.55 of 100
- Quality
- 85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170817002934 | SC | Practitioner - Nurse Practitioner | 5799957510 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5368 | CT | MD | Clinical Social Worker |
| 20856 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Physician Associates LLC | Current |
Accepting new patients | |
| Georgetown Memorial Hospital | Current |
Accepting new patients | |
| Waccamaw Community Hospital | Current |
Accepting new patients | |
| Georgetown Memorial Hospital | Current |
Accepting new patients | |
| Georgetown Physician Associates, LLC | Current |
Accepting new patients |
Locations
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
1075 N Fraser St
Georgetown, SC 29440
Phone (843) 527-3588
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
Interoperability endpoints
- abach447742@direct.musc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5368 | CT | Yes |
Addresses
Primary practice location
56 Franklin St
St Mary'S Hospital
Waterbury, CT 06706-1253
Mailing address
34 Magnolia Ave
Norwalk, CT 06850-3631
Phone (510) 648-7757
Other providers in Waterbury, CT
- Adem Aydin
- Lauren K Ayr-Volta
- Ibraheim Ayub
- Marjan Azin
- B and L Pharmacy Inc
- Kimberly Bacik
- Alexander J Backus
- Christina Baden
- Sarah Baden
- Bags Foundation CT Inc
All providers in Waterbury, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.