Active NPI
Amanda J Chapman, MSN-NP
- Family Nurse Practitioner
- Mount Vernon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021008231
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Mercy Hospital Aurora
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011021027 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Decatur, AR
- NPI 1699513507
-
- Rural Health Clinic/Center
- Mount Vernon, MO
- NPI 1568502631
-
- Rural Health Clinic/Center
- Rogersville, MO
- NPI 1942335203
-
- Rural Health Clinic/Center
- Anderson, MO
- NPI 1063969665
-
- Rural Health Clinic/Center
- Carthage, MO
- NPI 1104229186
-
- Rural Health Clinic/Center
- Marshfield, MO
- NPI 1225338155
-
- Rural Health Clinic/Center
- Pineville, MO
- NPI 1386191989
-
- Rural Health Clinic/Center
- Noel, MO
- NPI 1386985521
-
- Rural Health Clinic/Center
- South West City, MO
- NPI 1801343405
-
- Rural Health Clinic/Center
- Sparta, MO
- NPI 1811391717
-
- Rural Health Clinic/Center
- Goodman, MO
- NPI 1972050581
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
- 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.