Individual provider Active NPI

Amanda J Chapman, MSN-NP

  • Family Nurse Practitioner
  • Mount Vernon, MO
National Provider Identifier
1659960979
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
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
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021008231 MO Primary
Registered Nurse 163W00000X 2011021027 MO

Addresses

Primary practice location

108 S Hickory St
Mount Vernon, MO 65712-1407

Mailing address

108 S Hickory St
Mount Vernon, MO 65712-1407
Phone (417) 466-4110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ACHAPMAN@OCHHOSPITAL.HIN.US

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210312001263 MO Practitioner - Nurse Practitioner 5698181857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sgoh Acquisition Inc 95 clinicians

Practice addresses (Care Compare)

106 S Hickory St
Mount Vernon, MO 65712-1407
Phone (417) 466-4110

108 S Hickory St
Mount Vernon, MO 65712-1407
Phone (417) 466-4110

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011021027MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince Mar 5, 2021 Accepting new patients
Sgoh Acquisition Inc CurrentSince Mar 5, 2021 Accepting new patients

Locations

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

106 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-4110

108 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-4110

Interoperability endpoints

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

Organizations & group practices 16

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.

View all 16

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": "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": []
}

Other providers in Mount Vernon, MO

Sources for this page

Verify at the official NPI Registry.