Amanda L Cook-Grooms

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN.CNP.0033413 Issued in OH

Practice address

244 Polley Rd
Winchester, OH 45697-9786

Phone

(937) 725-4275

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  KY

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of Ohio, Inc.

  • Hospitalist Physician
  • Mount Gilead, OH
  • NPI 1073781597
  Medicare reassignment NPD
• S&S Care Solutions, LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1679294516
  Medicare reassignment NPD
• S&S Primary Care LLC

  dba American Family Care

  • General Practice Physician
  • Cincinnati, OH
  • NPI 1659180800
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699475822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 POLLEY RD",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979786",
            "telephone_number": "937-725-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 POLLEY RD",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979786",
            "telephone_number": "937-725-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-GROOMS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0033413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Bess
• Donald Richard Bowman
• Rodney Dion Bowman, LPN
• Edward N Bunn, PT
• Pamela Sue Chapman
• Country Touch Homecare, LLC
• Emma Grace Davis
• Eastern Local School District
• Miranda Edingfield, COTA/L
• Kerilee M Edwards, STNA

• Acute Care Nurse Practitioner in Winchester, OH
• Providers in Winchester, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.