Amy Anderson, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1076007 Issued in TX

Practice address

2501 Jimmy Johnson Blvd
Suite 401
Port Arthur, TX 77640

Phone

(409) 401-5864

NPI assigned

Apr 28, 2022

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winnie Community Hospital LLCGroup PAC ID 3375440894, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Winnie Community Hospital, L.L.C.

  dba Winnie Community Clinic

  • Emergency Medicine Physician
  • Winnie, TX
  • NPI 1548395213
  Medicare reassignment Care Compare group NPD
• Winnie Community Hospital LLC

  dba Riceland Pain Clinic

  • Interventional Pain Medicine Physician
  • Nederland, TX
  • NPI 1316623481
  NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1649915331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSONBLVD",
            "address_2": "SUITE 401",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 401",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77640",
            "telephone_number": "409-401-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 Broadway",
            "address_purpose": "LOCATION",
            "city": "Winnie",
            "state": "TX",
            "postal_code": "776657600",
            "country_code": "US",
            "telephone_number": "409-296-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3080 COLLEGE ST",
            "address_purpose": "LOCATION",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "country_code": "US",
            "telephone_number": "409-212-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8595 MEDICAL CENTER BLVD",
            "address_purpose": "LOCATION",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77640",
            "country_code": "US",
            "telephone_number": "409-721-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1076007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Allen, DC, LAT, ATC
• Allure Healthcare,LLC
• Alternative Senior Care, Inc.
• American Medical Service Inc
• Murlidhar Anatkumar Amin, MD
• Lorie Anderson
• Tawnya Anderson, FNP
• Joanne Izevbua Anoje, PHARM.D
• Maia Antoine
• Apexcare Physicians LLC

• Acute Care Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.