Active NPI
Amy Kornhauser, FNP-BC
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1770137598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71009234A
- Practice address
- 1 American SQ Ste B1-10
Indianapolis, IN 46282-0020 - Phone
- (317) 522-8044
- Fax
- (765) 650-7803
- NPI assigned
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71009234A | IN | Primary |
Addresses
Primary practice location
1 American SQ Ste B1-10
Indianapolis, IN 46282-0020
Mailing address
4151 E 96TH St
Indianapolis, IN 46240-1442
Phone (866) 434-3255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300030438 | Medicaid | IN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190830002974 | IN | Practitioner - Nurse Practitioner | 4385973296 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009234A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone County Community Health Clinic, Inc | Current | Accepting new patients | |
| Riggs Community Health Center Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
416 W Camp St
Lebanon, IN 46052
Phone (765) 483-4469
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.
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386660900
IN
-
- Community Health Clinic/Center
- Lebanon, IN
- NPI 1962681734
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386876233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1770137598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 E 96TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462401442",
"telephone_number": "866-434-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AMERICAN SQ STE B1-10",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462820020",
"telephone_number": "317-522-8044",
"fax_number": "765-650-7803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNHAUSER",
"first_name": "AMY",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71009234A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300030438",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.