Individual provider Active NPI

Amanda Stewart Romerhausen, R.N., MSN,ACNP

  • Acute Care Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1649606815
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71004788A Issued in IN
Practice address
3801 Bellemeade Ave Ste 110a
Evansville, IN 47714-0111
Phone
(812) 485-7330
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71004788A IN Primary
Nurse Practitioner 363L00000X 71004788A IN

Addresses

Primary practice location

3801 Bellemeade Ave Ste 110a
Evansville, IN 47714-0111

Mailing address

PO Box 13059
Belfast, ME 04915-4021

Other practice location 1

4015 Gateway Blvd Ste 2121
Newburgh, IN 47630-8925
Phone (812) 450-7720

Other practice location 2

519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20140303001590 IN Practitioner - Nurse Practitioner 9133359672 Reassigns benefits to 1 organization
I20240919000196 KY Practitioner - Nurse Practitioner 9133359672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Henderson, KY 42420-2768
Phone (270) 561-0202

519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71004788AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince May 12, 2024 Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients

Locations

519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

4015 Gateway Blvd
#2121
Newburgh, IN 47630
Phone (812) 450-7720

4015 Gateway Blvd
Ste 2121
Newburgh, IN 47630
Phone (812) 450-7720

1413 N Elm St
Henderson, KY 42420
Phone (270) 561-0202

1300 Merritt Dr
#100
Henderson, KY 42420
Phone (270) 827-0064

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

Organizations & group practices 5

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 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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1649606815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13059",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 110A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140111",
            "telephone_number": "812-485-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4015 Gateway Blvd Ste 2121",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308925",
            "country_code": "US",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 Harriet St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101715",
            "country_code": "US",
            "telephone_number": "812-450-7720",
            "fax_number": "812-450-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERHAUSEN",
        "first_name": "AMANDA",
        "middle_name": "STEWART",
        "credential": "R.N., MSN,ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71004788A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004788A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.