Individual provider Active NPI

Amanda H. Lindsey, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1629541990
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000025020 Issued in TN
Practice address
1819 Clinch Ave Ste 200
Knoxville, TN 37916-2435
Phone
(865) 524-3695
Fax
(865) 602-3528
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000025020 TN Primary

Addresses

Primary practice location

1819 Clinch Ave Ste 200
Knoxville, TN 37916-2435

Mailing address

PO Box 52948
Knoxville, TN 37950-2948
Phone (865) 306-5675

Other identifiers 1

IdentifierTypeStateIssuer
Q047439MedicaidTN

Other names 1

  • Amanda Susan Henley Former name

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
I20190219000158 TN Practitioner - Nurse Practitioner 6103164025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Surgical Associates PLLCGroup PAC ID 1254224181, 61 clinicians

Practice addresses (Care Compare)

1819 Clinch Ave
Suite 200
Knoxville, TN 37916-2435
Phone (865) 524-3695

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
64.09
Promoting interoperability
98
Improvement activities
40
Cost
77.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000025020TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Surgical Associates, PLLC CurrentSince Jan 10, 2019 Accepting new patients
Premier Surgical Associates, PLLC CurrentSince Jan 10, 2019 Accepting new patients

Locations

9430 Park West Blvd
Ste 310
Knoxville, TN 37923
Phone (865) 984-3413

1819 Clinch Ave
Ste 200
Knoxville, TN 37916
Phone (865) 524-3695

6408 Papermill Dr
Ste 220
Knoxville, TN 37919
Phone (865) 306-5675

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71045

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1629541990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52948",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502948",
            "telephone_number": "865-306-5675",
            "fax_number": "865-584-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-524-3695",
            "fax_number": "865-602-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "AMANDA",
        "middle_name": "H.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000025020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q047439",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HENLEY",
            "middle_name": "SUSAN",
            "credential": "RN, CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.