Individual provider Active NPI

Amy Ross, NP-C, FNP-BC

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1710433909
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.19233 Issued in OH
Practice address
2600 N Limestone St Ste 125
Springfield, OH 45503-1114
Phone
(937) 523-9070
Fax
(937) 523-9089
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.19233 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.19233 OH Primary

Addresses

Primary practice location

2600 N Limestone St Ste 125
Springfield, OH 45503-1114

Mailing address

2600 N Limestone St Ste 125
Springfield, OH 45503-1114
Phone (937) 523-9070

Other practice location 1

3535 Southern Blvd
Suite 5350
Kettering, OH 45429-1221
Phone (937) 643-2299

Other practice location 2

3535 Southern Blvd
Suite 5350
Kettering, OH 45429-1221
Phone (937) 643-2299

Other practice location 3

30 E Apple St Ste 5254
Dayton, OH 45409
Phone (937) 208-4200

Other practice location 4

1 Prestige Pl Ste 615
Miamisburg, OH 45342-3794
Phone (937) 762-1617

Other identifiers 1

IdentifierTypeStateIssuer
0186542MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aross568224@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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
I20161020002424 OH Practitioner - Nurse Practitioner 6103104450 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-4147

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646

900 Scioto St
Suite 1
Urbana, OH 43078-2251
Phone (937) 717-4884

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.19233OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince May 28, 2019 Accepting new patients
Premier Health Specialists Inc CurrentSince May 28, 2019 Accepting new patients
Dayton Center for Neurological Disorders Inc CurrentSince Apr 18, 2022 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Premier Health Specialists Inc Nurse Practitioner Current Accepting new patients
Alliance Physicians Inc CurrentSince Oct 1, 2016 Accepting new patients
Community Mercy Health Partners PastSince Sep 4, 2022 Accepting new patients

Locations

2510 Commons Blvd
Ste 200B
Beavercreek, OH 45431
Phone (937) 296-0167

30 E Apple St
Ste 5254A
Dayton, OH 45409

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335

7677 Yankee St
Ste 110
Dayton, OH 45459
Phone (937) 401-6400

30 E Apple St
Ste 5254
Dayton, OH 45409
Phone (844) 277-2894

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3533 Southern Blvd
Ste 5200
Kettering, OH 45429
Phone (937) 395-8002

3535 Southern Blvd
Ste 5350
Kettering, OH 45429
Phone (937) 643-2299

1 Prestige Pl
Ste 615
Miamisburg, OH 45342
Phone (937) 762-1617

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

2600 N Limestone St
Ste 125
Springfield, OH 45503
Phone (937) 523-9070

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

8087 Washington Village Dr
Ste 120
Washington Township, OH 45458
Phone (937) 203-4848

1975 Miamisburg Centerville Rd
Washington Township, OH 45459

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1710433909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N LIMESTONE ST STE 125",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031114",
            "telephone_number": "937-523-9070",
            "fax_number": "937-523-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N LIMESTONE ST STE 125",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031114",
            "telephone_number": "937-523-9070",
            "fax_number": "937-523-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_2": "Suite 5350",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-643-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_2": "Suite 5350",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-643-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E Apple St Ste 5254",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45409",
            "country_code": "US",
            "telephone_number": "937-208-4200",
            "fax_number": "937-208-2678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Prestige Pl Ste 615",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453423794",
            "country_code": "US",
            "telephone_number": "937-762-1617",
            "fax_number": "937-762-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "AMY",
        "credential": "NP-C, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.19233",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.19233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186542",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aross568224@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1 Prestige Pl Ste 615",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1 Prestige Pl Ste 615",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.