Individual provider Active NPI

Amanda Gwin Vantrease, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1619240413
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
15785 Issued in TN
Practice address
250 25TH Ave N
Ste 100
Nashville, TN 37203-1632
Phone
(615) 320-5090
Fax
(615) 320-1225
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 15785 TN Primary

Addresses

Primary practice location

250 25TH Ave N
Ste 100
Nashville, TN 37203-1632

Mailing address

PO Box 440100
Nashville, TN 37244-0100
Phone (615) 320-5090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120613000555 TN Practitioner - Nurse Practitioner 9537323035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1750 Cedar LN
Suite 200
Tullahoma, TN 37388-4761
Phone (615) 333-2481

225 Big Station Camp Blvd
Suite 201
Gallatin, TN 37066-8466
Phone (615) 451-5481

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15785TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Apr 22, 2012 Accepting new patients

Locations

225 Big Station Camp Blvd
Ste 201
Gallatin, TN 37066
Phone (615) 451-5481

225 Big Station Camp Blvd
Gallatin, TN 37066
Phone (615) 328-3380

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

250 25th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 320-5090

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1619240413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "615-320-5090",
            "fax_number": "615-320-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 25TH AVE N",
            "address_2": "STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031632",
            "telephone_number": "615-320-5090",
            "fax_number": "615-320-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTREASE",
        "first_name": "AMANDA",
        "middle_name": "GWIN",
        "credential": "MSN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "15785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.