Active NPI
Amber M Butcher, FNPC
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004597A
- Practice address
- 5150 Shelbyville Rd
Indianapolis, IN 46237-2601 - Phone
- (317) 782-1577
- Fax
- (888) 366-7577
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 28168131A | IN | |
| Family Nurse Practitioner | 363LF0000X | 28168131A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71004597A | IN | Primary |
Addresses
Primary practice location
5150 Shelbyville Rd
Indianapolis, IN 46237-2601
Mailing address
5150 Shelbyville Rd
Indianapolis, IN 46237-2601
Phone (317) 782-1577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201195550 | Medicaid | IN |
Other names 1
- Amber M Jacobi
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28168131A | IN | MD | Family Nurse Practitioner |
| 71004597A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Health Gateway Services Inc | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Family | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc. | Current | Accepting new patients | |
| Hancock Physician Network, LLC | Current | Accepting new patients | |
| Hancock Health Gateway Services, Inc. | Family | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
124 W Muskegon Dr
Greenfield, IN 46140
Phone (317) 318-7471
6189 W John L Modglin Dr
Ste 101
Greenfield, IN 46140
Phone (317) 866-7300
801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- amber.butcher.2@14940.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Greenfield, IN
- NPI 1649749052
-
- Family Medicine Physician
- Greenfield, IN
- NPI 1609806470
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
Family
-
- Physiological Laboratory
- Greenfield, IN
- NPI 1134696099
-
- Registered Dietitian
- Indianapolis, IN
- NPI 1679949002
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1659713378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 SHELBYVILLE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372601",
"telephone_number": "317-782-1577",
"fax_number": "888-366-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 SHELBYVILLE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372601",
"telephone_number": "317-782-1577",
"fax_number": "888-366-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "AMBER",
"middle_name": "M",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "IN",
"license": "28168131A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28168131A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004597A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201195550",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "JACOBI",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.