Individual provider Active NPI

Amy J Hill, PAC

  • Physician Assistant
  • Middletown, KY
National Provider Identifier
1609848803
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA867 Issued in KY
Practice address
12400 Shelbyville Rd
Middletown, KY 40243-1419
Phone
(502) 883-2218
Fax
(502) 883-2031
NPI assigned
Feb 2, 2006
Last updated
Dec 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA867 KY Primary

Addresses

Primary practice location

12400 Shelbyville Rd
Middletown, KY 40243-1419

Mailing address

911 Flat Rock Rd
Louisville, KY 40245-4313
Phone (502) 883-2218

Other identifiers 3

IdentifierTypeStateIssuer
K050613OtherKYMEDICARE
P00262355OtherKYRRMCA NUMBER
95004958MedicaidKY

Other names 1

  • Amy J Tilley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000225 KY Practitioner - Physician Assistant 6507822392 Reassigns benefits to 1 organization
I20230825001751 IN Practitioner - Physician Assistant 6507822392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1006 New Moody LN
La Grange, KY 40031-9122

101 Stonecrest Rd
Shelbyville, KY 40065-8169

12010 Shelbyville Rd
Suite 500
Louisville, KY 40243-1086
Phone (502) 238-2800

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810

2232 Holiday Manor Ctr
Louisville, KY 40222-6431
Phone (502) 339-0096

2400 Eastpoint Pkwy
Louisville, KY 40223-4154

2800 Breckenridge LN
Louisville, KY 40220-1402

3605 Fern Valley Rd
Louisville, KY 40219-1916

3607 Fern Valley Rd
Suite 102
Louisville, KY 40219-1916
Phone (502) 459-4900

3900 Kresge Way
Louisville, KY 40207-4681

5130 Charlestown Rd
Suite 2
New Albany, IN 47150-9483
Phone (812) 542-4921

800 Highlander Point Dr
Floyds Knobs, IN 47119-9465

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA867KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 23, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 23, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 23, 2023 Accepting new patients
Bluegrass Rural Health PLLC Physician Assistant Past Accepting new patients
Keightley & Parsley P S C Physician Assistant Past Accepting new patients
Central Kentucky Emergency Services P.S.C. Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

96 Future Dr
Corbin, KY 40701

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Interoperability endpoints

  • Direct secure messaging: amy.hill.1@23284.direct.athenahealth.com

Organizations & group practices 7

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 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1609848803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 FLAT ROCK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454313",
            "telephone_number": "502-883-2218",
            "fax_number": "502-883-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 SHELBYVILLE RD",
            "city": "MIDDLETOWN",
            "state": "KY",
            "postal_code": "402431419",
            "telephone_number": "502-883-2218",
            "fax_number": "502-883-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K050613",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCA NUMBER",
            "identifier": "P00262355",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95004958",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TILLEY",
            "middle_name": "J",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, KY

Sources for this page

Verify at the official NPI Registry.