Individual provider Active NPI

Amy Elizabeth Sloan, APN

  • Adult Health Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1710288675
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
15344 Issued in TN
Practice address
111 Stonebridge Blvd
Jackson, TN 38305-2040
Phone
(731) 410-6777
Fax
(731) 410-6778
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 15344 TN Primary

Addresses

Primary practice location

111 Stonebridge Blvd
Jackson, TN 38305-2040

Mailing address

PO Box 1798
Dept 07-075
Memphis, TN 38101-1798
Phone (731) 410-6777

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301002262 OH Practitioner - Nurse Practitioner 8123217932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians

Practice addresses (Care Compare)

1900 S Main St
CDS Room 3349
Findlay, OH 45840-1214
Phone (833) 204-3278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.59 of 100Reported as group
Quality
57.93
Promoting interoperability
97
Improvement activities
40
Cost
76.55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Blanchard Valley LLC CurrentSince Nov 1, 2025 Accepting new patients
The Cardiovascular Clinic of West Tennessee,P.C. Past Accepting new patients
Saint Francis Physician Network, LLC PastSince Feb 5, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1721 Medical Blvd
Ste A
Findlay, OH 45840
Phone (419) 424-2020

1900 S Main St
Rm 3349
Findlay, OH 45840
Phone (419) 423-3188

3949 N Main St
Ste B
Findlay, OH 45840
Phone (419) 423-3888

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

Interoperability endpoints

  • Direct secure messaging: amy.sloan@bvma.gwaydirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1710288675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1798",
            "address_2": "DEPT 07-075",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381011798",
            "telephone_number": "731-410-6777",
            "fax_number": "731-410-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STONEBRIDGE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052040",
            "telephone_number": "731-410-6777",
            "fax_number": "731-410-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "15344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.