Individual provider Active NPI

Amber Reann Phebus, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1639809528
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71012813A Issued in IN
Practice address
3601 Sagamore Pkwy N Ste G
Lafayette, IN 47904-5033
Phone
(765) 418-7477
Fax
(765) 544-3740
NPI assigned
Jun 14, 2022
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71012813A IN Primary

Addresses

Primary practice location

3601 Sagamore Pkwy N Ste G
Lafayette, IN 47904-5033

Mailing address

3601 Sagamore Pkwy N Ste G
Lafayette, IN 47904-5033
Phone (765) 232-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20221122000811 IN Practitioner - Nurse Practitioner 0042688178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3601 Sagamore Pkwy N
Suite G
Lafayette, IN 47904-5033
Phone (765) 232-3503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71012813AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychiatric Center LLC Psychiatric/Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Acute Behavioral Health Services, P.C. CurrentSince Jul 28, 2022 Accepting new patients
Mending Minds, LLC CurrentSince Feb 12, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1311 W 96th St
Ste 110
Indianapolis, IN 46260
Phone (317) 296-7707

702 W Alto Rd
Kokomo, IN 46902
Phone (765) 453-7422

3733 Rome Dr
Lafayette, IN 47905
Phone (765) 446-9394

833 Park East Blvd
Lafayette, IN 47905
Phone (765) 441-3168

Interoperability endpoints

  • Direct secure messaging: amber.phebus.1@7598.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1639809528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SAGAMORE PKWY N STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479045033",
            "telephone_number": "765-232-3503",
            "fax_number": "765-544-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SAGAMORE PKWY N STE G",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479045033",
            "telephone_number": "765-418-7477",
            "fax_number": "765-544-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHEBUS",
        "first_name": "AMBER",
        "middle_name": "REANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71012813A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.