Individual provider Active NPI

Amanda S Gilbert, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1750717385
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022037796 Issued in MO
Practice address
222 E Primrose St Ste E
Springfield, MO 65807-5233
Phone
(417) 888-0167
NPI assigned
Sep 13, 2013
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022037796 MO Primary

Addresses

Primary practice location

222 E Primrose St Ste E
Springfield, MO 65807-5233

Mailing address

222 E Primrose St Ste E
Springfield, MO 65807-5233
Phone (417) 553-1080

Other practice location 1

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150

Other practice location 2

7150 W Sunset Rd Ste 202
Las Vegas, NV 89113-1981
Phone (702) 514-1411

Other identifiers 4

IdentifierTypeStateIssuer
P01262373OtherMORR MCR
1750717385MedicaidMO
200739758MedicaidAR
431560263OtherMOTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, SC2 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

Enrollment IDStateProvider typePAC IDDetails
I20131217000389 MO Practitioner - Nurse Practitioner 2860629938 Reassigns benefits to 2 organizations
I20201012000886 SC Practitioner - Nurse Practitioner 2860629938

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
88.33
Promoting interoperability
100
Improvement activities
40
Cost
64.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022037796MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Pain Management, LLC CurrentSince Oct 5, 2020 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Jan 24, 2015 Accepting new patients
Elite Pain Management, LLC CurrentSince Oct 22, 2018 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Jan 24, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1230 E Kingsley St
Ste C
Springfield, MO 65804
Phone (417) 512-8788

222 E Primrose St
Springfield, MO 65807
Phone (417) 888-0167

222 E Primrose St
Ste E
Springfield, MO 65807
Phone (417) 553-1080

3600 S National Ave
Springfield, MO 65807
Phone (417) 322-6622

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

4237 River Hills Dr
Ste 170
Little River, SC 29566
Phone (843) 273-0376

8212 Devon Ct
Myrtle Beach, SC 29572
Phone (843) 273-0379

Interoperability endpoints

  • Direct secure messaging: amanda.gilbert.p1@direct.jordanvalley.nextgenshare.com

Organizations & group practices 5

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": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1750717385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E PRIMROSE ST STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075233",
            "telephone_number": "417-553-1080",
            "fax_number": "888-472-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E PRIMROSE ST STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075233",
            "telephone_number": "417-888-0167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 E Tampa St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061131",
            "country_code": "US",
            "telephone_number": "417-831-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7150 W Sunset Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891131981",
            "country_code": "US",
            "telephone_number": "702-514-1411",
            "fax_number": "702-514-1413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "AMANDA",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022037796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P01262373",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750717385",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200739758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.