Individual provider Active NPI

Amy J Glaser-Carpenter, D.O.

  • Family Medicine Physician
  • Batesville, IN
National Provider Identifier
1801065651
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005019A Issued in IN
Practice address
981 State Route 46 E Ste a
Batesville, IN 47006-7630
Phone
(812) 558-5778
Fax
(812) 610-8336
NPI assigned
Feb 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02005019A IN Primary

Addresses

Primary practice location

981 State Route 46 E Ste a
Batesville, IN 47006-7630

Mailing address

981 State Route 46 E Ste a
Batesville, IN 47006-7630
Phone (812) 558-5778

Other identifiers 2

IdentifierTypeStateIssuer
300000510MedicaidIN
29128277MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2018 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02005019AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 1

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1801065651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 STATE ROUTE 46 E STE A",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470067630",
            "telephone_number": "812-558-5778",
            "fax_number": "812-610-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 STATE ROUTE 46 E STE A",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470067630",
            "telephone_number": "812-558-5778",
            "fax_number": "812-610-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER-CARPENTER",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02005019A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300000510",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29128277",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.