Individual provider Active NPI

Amanda Egilmez, APRN

  • Family Nurse Practitioner
  • Greenfield, IN
National Provider Identifier
1770102386
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009955A Issued in IN
Practice address
740 W Green Meadows Dr Ste 105
Greenfield, IN 46140-3098
Phone
(317) 318-7777
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009955A IN Primary

Addresses

Primary practice location

740 W Green Meadows Dr Ste 105
Greenfield, IN 46140-3098

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

323 Conrad Harcourt Way
Rushville, IN 46173-1161
Phone (765) 932-7081

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AMANDAEGILMEZ@rushmemorial.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200520000154 IN Practitioner - Nurse Practitioner 5698106094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

740 W Green Meadows Dr
Suite 105
Greenfield, IN 46140-3098
Phone (317) 318-7777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 19, 2022 Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

740 W Green Meadows Dr
Ste 105
Greenfield, IN 46140
Phone (317) 318-7777

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Interoperability endpoints

  • Direct secure messaging: amandaegilmez@rushmemorial.cernerdirect.com
  • Direct secure messaging: aegilmez335188@ecommunitydirect.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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1770102386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W GREEN MEADOWS DR STE 105",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403098",
            "telephone_number": "317-318-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Conrad Harcourt Way",
            "address_purpose": "LOCATION",
            "city": "Rushville",
            "state": "IN",
            "postal_code": "461731161",
            "country_code": "US",
            "telephone_number": "765-932-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGILMEZ",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMANDAEGILMEZ@rushmemorial.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinical Documents and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinical Documents and CCD Exchange",
            "address_1": "323 Conrad Harcourt Way",
            "city": "Rushville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461731161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.