Amy Anderson, AGACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Port Arthur, TX
NPI 1649915331 · NPPES record last updated Mar 13, 2023
Key facts
- NPI
- 1649915331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 1076007 (TX)
- Practice address
- 2501 Jimmy Johnson Blvd
Suite 401
Port Arthur, TX 77640 - Phone
- (409) 401-5864
- NPI assigned
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Winnie Community Hospital LLC
Practice addresses (Care Compare)
538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220602001191 | TX | Practitioner - Nurse Practitioner | 5496133548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winnie Community Hospital LLC | Current | Accepting new patients | |
| Winnie Community Hospital, L.L.C. | Current |
Accepting new patients |
Locations
2501 Jimmy Johnson Blvd
Ste 401
Port Arthur, TX 77640
Phone (409) 401-5864
538 Broadway
Winnie, TX 77665
Phone (409) 296-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1076007 | TX | Yes |
Addresses
Primary practice location
2501 Jimmy Johnson Blvd
Suite 401
Port Arthur, TX 77640
Mailing address
2501 Jimmy Johnsonblvd
Suite 401
Port Arthur, TX 77640
Other practice location 1
8595 Medical Center Blvd
Port Arthur, TX 77640
Phone (409) 721-8600
Other practice location 2
538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6505
Other practice location 3
3080 College St
Beaumont, TX 77701
Phone (409) 212-5000
Other providers in Port Arthur, TX
- Ryan Allen
- Allure Healthcare,LLC
- Alternative Senior Care, Inc.
- American Medical Service Inc
- Murlidhar Anatkumar Amin
- Lorie Anderson
- Tawnya Anderson
- Joanne Izevbua Anoje
- Maia Antoine
- Apexcare Physicians LLC
All providers in Port Arthur, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.