Individual provider Active NPI

Amy Joelle Hoetzel, CRNP

  • Family Nurse Practitioner
  • Easton, MD
National Provider Identifier
1689041733
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R176385 Issued in MD
Practice address
607 Dutchmans LN
Easton, MD 21601-3345
Phone
(410) 822-9133
NPI assigned
Aug 25, 2015
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R176385 MD Primary

Addresses

Primary practice location

607 Dutchmans LN
Easton, MD 21601-3345

Mailing address

607 Dutchmans LN
Easton, MD 21601-3345
Phone (410) 822-9133

Other names 1

  • Ms. Amy Joelle Holston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170328000018 MD Practitioner - Nurse Practitioner 7416232814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone 66721416161628

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R176385MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 1, 2018 Accepting new patients
University of Maryland Anesthesiology Associates, P.a. CurrentSince Apr 17, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

2002 Medical Pkwy
Ste 460
Annapolis, MD 21401
Phone (410) 266-2725

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

Interoperability endpoints

  • Direct secure messaging: ahoetzel857155@direct.umm.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1689041733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013345",
            "telephone_number": "410-822-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013345",
            "telephone_number": "410-822-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOETZEL",
        "first_name": "AMY",
        "middle_name": "JOELLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R176385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HOLSTON",
            "middle_name": "JOELLE",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.