Individual provider Active NPI

Amy Weller, FNP

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1710381512
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005253A Issued in IN
Practice address
2100 N Main St # 304
Crown Point, IN 46307-1877
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Oct 22, 2014
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 84865 KS
Family Nurse Practitioner 363LF0000X 71005253A IN Primary
Family Nurse Practitioner 363LF0000X 1189417 TX
Family Nurse Practitioner 363LF0000X 84865 KS
Family Nurse Practitioner 363LF0000X 4704453925 MI

Addresses

Primary practice location

2100 N Main St # 304
Crown Point, IN 46307-1877

Mailing address

6877 Marsh View Street
Merrillville, IN 46410
Phone (765) 603-8708

Other practice location 1

801 Main Street
Munster, IN 46321
Phone (866) 389-2727

Other practice location 2

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Phone (574) 546-1900

Other practice location 3

675 Town Square Blvd Ste 200
Garland, TX 75040-2991
Phone (574) 546-1900

Other practice location 4

12345 W 95th St Fl 2
Lenexa, KS 66215-3853
Phone (574) 546-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, TN, KS, MO, PA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20141222000131 IN Practitioner - Nurse Practitioner 6406179571 Reassigns benefits to 1 organization
I20250609000032 TX Practitioner - Nurse Practitioner 6406179571 Reassigns benefits to 1 organization
I20251018000425 TN Practitioner - Nurse Practitioner 6406179571 Reassigns benefits to 1 organization
I20260129000935 KS Practitioner - Nurse Practitioner 6406179571 Reassigns benefits to 1 organization
I20260321000249 MO Practitioner - Nurse Practitioner 6406179571 Reassigns benefits to 1 organization
I20260414002792 PA Practitioner - Nurse Practitioner 6406179571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Pain Management Associates PCGroup PAC ID 4486676095, 86 clinicians

Practice addresses (Care Compare)

2100 N Main St
Suite 304
Crown Point, IN 46307-1877
Phone (574) 546-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39476TNMDPharmacist
84865KSMDNurse Practitioner
71005253AINMDFamily Nurse Practitioner
1189417TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guidestar Eldercare - TN, P.C. Nurse Practitioner CurrentSince Aug 9, 2025 Accepting new patients
Guidestar Eldercare Corp - KS Nurse Practitioner CurrentSince Jan 12, 2026 Accepting new patients
Guidestar Eldercare Corp - KS Nurse Practitioner CurrentSince Jan 12, 2026 Accepting new patients
Neurology and Pain Management Associates PC Nurse Practitioner CurrentSince Nov 18, 2024 Accepting new patients
Guidestar Eldercare Neuro-Psychiatric Group - Texas PA Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients

Locations

601 W County Road 200 S
New Castle, IN 47362
Phone (765) 529-5796

20 John Kissinger Dr
Wabash, IN 46992
Phone (260) 274-0444

12345 W 95th St
Fl 2
Lenexa, KS 66215
Phone (213) 277-7340

6501 W 75th St
Shawnee Mission, KS 66204
Phone (913) 383-9866

851 Kimsey Ln
Henderson, KY 42420
Phone (270) 295-6450

50 Sanderson Ln
Coldwater, MI 49036
Phone (517) 279-9587

41000 W 13 Mile Rd
Novi, MI 48377
Phone (248) 360-4327

303 N Stadium Blvd
Fl 2
Columbia, MO 65203
Phone (423) 502-1508

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267

6151 Bryant Irvin Rd
Fort Worth, TX 76132
Phone (817) 292-2288

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

631 Lakeview Blvd
New Braunfels, TX 78130
Phone (830) 500-2435

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1710381512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6877 MARSH VIEW STREET",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "765-603-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST # 304",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071877",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Main Street",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "46321",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Greenfield Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481201805",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 Town Square Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750402991",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12345 W 95th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662153853",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLER",
        "first_name": "AMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "84865",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005253A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1189417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "84865",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704453925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.