Amanda J Chapman, MSN-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021008231 Issued in MO

Practice address

108 S Hickory St
Mount Vernon, MO 65712-1407

Phone

(417) 466-4110

Fax

(417) 466-4255

NPI assigned

Jan 12, 2021

Last updated

Oct 11, 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sgoh Acquisition IncGroup PAC ID 5092616276, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ozarks Community Hospital of Gravette Hospital, Gravette, AR, CCN 041331
• Mercy Hospital Aurora Hospital, Aurora, MO, CCN 261316

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: achapman@ochhospital.hin.us

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.

• Sgoh Acquisition Inc

  • Clinic/Center
  • Springfield, MO
  • NPI 1114924768
  Medicare reassignment Care Compare group NPD
• Sgoh Acquisition Inc

  dba Och Decatur Clinic

  • Rural Health Clinic/Center
  • Decatur, AR
  • NPI 1699513507
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Aurora

  • Critical Access Hospital
  • Aurora, MO
  • NPI 1467543090
  Care Compare affiliation
• Sgoh Acquisition Inc

  dba Ozarks Community Hospital of Gravette

  • Critical Access Hospital
  • Gravette, AR
  • NPI 1568643005
  Care Compare affiliation

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1659960979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S HICKORY ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121407",
            "telephone_number": "417-466-4110",
            "fax_number": "417-466-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S HICKORY ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121407",
            "telephone_number": "417-466-4110",
            "fax_number": "417-466-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "MSN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021008231",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2011021027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ACHAPMAN@OCHHOSPITAL.HIN.US",
            "affiliation": "N",
            "address_1": "108 S Hickory St",
            "city": "Mount Vernon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657121407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Carpenter
• Carthage Pharmacy Services Inc (Hometown Pharmacy #4)
• Danielle Koren Carver, MA, LPC
• Tressie Casey
• Phyllis Fay Caudill-James, COTA/L
• Cheryl G Williams DO PC (Mt.Vernon Clinic)
• Ka Cheuk, M.S., CCC-SLP
• Circle Maker LLC (Center for Diagnostic Medicine)
• Clear Creek Family Dental - Mt. Vernon LLC (Clear Creek Family - Mt. Vernon)
• Linda Collier, CF-SLP

• Family Nurse Practitioner in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.