Active NPI
Amy C. Barton, N.P.
- Acute Care Nurse Practitioner
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- COA.12030-NP
- Practice address
- 1520 S Main St
Suite 2
Dayton, OH 45409-2698 - Phone
- (937) 461-5815
- Fax
- (937) 461-2896
- NPI assigned
- Oct 13, 2010
- Last updated
- Jun 5, 2015
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA.12030-NP | OH | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.314497 | OH |
Addresses
Primary practice location
1520 S Main St
Suite 2
Dayton, OH 45409-2698
Mailing address
1520 S Main St
Suite 2
Dayton, OH 45409-2698
Phone (937) 461-5815
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H047371 | Other | OH | OH MEDICARE |
| COA.12030-NP | Other | OH | STATE LICENSE |
| RN.314497 | Other | OH | STATE LICENSE |
| 3110243 | Other | OH | OH MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 S Main St
Dayton, OH 45409-2643
Phone (937) 461-5815
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.314497 | OH | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current | Accepting new patients | |
| Pulmonary & Critical Care Consultants, Inc | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1520 S Main St
Ste 2
Dayton, OH 45409
Phone (937) 461-5815
1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Dayton, OH
- NPI 1861432379
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
OH
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1689984528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 S MAIN ST",
"address_2": "SUITE 2",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092698",
"telephone_number": "937-461-5815",
"fax_number": "937-461-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S MAIN ST",
"address_2": "SUITE 2",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092698",
"telephone_number": "937-461-5815",
"fax_number": "937-461-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTON",
"first_name": "AMY",
"middle_name": "C.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-13",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA.12030-NP",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "OH",
"license": "RN.314497",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICARE",
"identifier": "H047371",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "COA.12030-NP",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RN.314497",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID",
"identifier": "3110243",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.