Active NPI
Amanda Chandler Hill
- Nurse Practitioner
- Cleveland, MS
National Provider Identifier
1669990040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- HILL-01B81J
- Practice address
- 810 E Sunflower Rd Ste 100B
Cleveland, MS 38732-2828 - Phone
- (662) 579-3484
- Fax
- (662) 579-3485
- NPI assigned
- Sep 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | HILL-01B81J | MS | Primary |
Addresses
Primary practice location
810 E Sunflower Rd Ste 100B
Cleveland, MS 38732-2828
Mailing address
810 E Sunflower Rd Ste 100B
Cleveland, MS 38732-2828
Phone (662) 579-3484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HILL-01B81J | Other | MS | MISSISSIPPI BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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 |
|---|---|---|---|---|
| I20171102003295 | MS | Practitioner - Nurse Practitioner | 3476819756 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vascular Access Center of Bolivar County LLC
Practice addresses (Care Compare)
810 E Sunflower Rd
Suite 100B
Cleveland, MS 38732-2828
Phone (662) 579-3484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HILL-01B81J | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Access Center of Bolivar County LLC | Current | Accepting new patients | |
| Radiology Services P a | Past | Accepting new patients |
Locations
810 E Sunflower Rd
Ste 100B
Cleveland, MS 38732
Phone (662) 579-3484
285 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (302) 438-8900
Interoperability endpoints
- amanda.hill.bol@direct.vac.nextgenshare.com
Organizations & group practices 2
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.
-
- Vascular & Interventional Radiology Physician
- Cleveland, MS
- NPI 1851620249
MS
-
- Diagnostic Radiology Physician
- Ft Smith, AR
- NPI 1154301786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1669990040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 E SUNFLOWER RD STE 100B",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322828",
"telephone_number": "662-579-3484",
"fax_number": "662-579-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E SUNFLOWER RD STE 100B",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322828",
"telephone_number": "662-579-3484",
"fax_number": "662-579-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "AMANDA",
"middle_name": "CHANDLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2024-06-18",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "HILL-01B81J",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI BOARD OF NURSING",
"identifier": "HILL-01B81J",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.