Individual provider Active NPI

Amy Kornhauser, FNP-BC

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1770137598
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009234A Issued in IN
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

Updated by the provider on Jan 26, 2026

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 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

IdentifierTypeStateIssuer
300030438MedicaidIN

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
I20190830002974 IN Practitioner - Nurse Practitioner 4385973296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71009234AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Community Health Clinic, Inc CurrentSince Aug 13, 2019 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.

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

Verify at the official NPI Registry.