Individual provider Active NPI

Jami K Kamp, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Goshen, IN
National Provider Identifier
1801152095
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28160780A Issued in IN
Practice address
1855 S. Main Street
Suite a, Heart & Vascular Center
Goshen, IN 46526-4723
Phone
(574) 533-7476
Fax
(574) 533-7145
NPI assigned
Apr 2, 2012
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 28160780A IN Primary

Addresses

Primary practice location

1855 S. Main Street
Suite a, Heart & Vascular Center
Goshen, IN 46526-4723

Mailing address

1855 S. Main Street
Suite a, Heart & Vascular Center
Goshen, IN 46526-4723
Phone (574) 533-7476

Other identifiers 1

IdentifierTypeStateIssuer
201100890MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jami.kampnp.p1@direct.goshenphysicians.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address jami.kamp@goshenhealthdirect.com Health Information Exchange (HIE)

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
I20120920000754 IN Practitioner - Nurse Practitioner 3375791098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

2824 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 535-1700

2832 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 537-0219

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28160780AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System Inc CurrentSince Aug 13, 2012 Accepting new patients
Goshen Health System Inc CurrentSince Aug 13, 2012 Accepting new patients
Goshen Hospital Association Inc Current Accepting new patients

Locations

1855 S Main St
Ste A
Goshen, IN 46526
Phone (574) 533-7476

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

2832 Elkhart Rd
Goshen, IN 46526
Phone (574) 533-7476

Interoperability endpoints

  • Direct secure messaging: jami.kamp@goshenhealthdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1801152095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 S. MAIN STREET",
            "address_2": "SUITE A, HEART & VASCULAR CENTER",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264723",
            "telephone_number": "574-533-7476",
            "fax_number": "574-533-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 S. MAIN STREET",
            "address_2": "SUITE A, HEART & VASCULAR CENTER",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264723",
            "telephone_number": "574-533-7476",
            "fax_number": "574-533-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMP",
        "first_name": "JAMI",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28160780A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201100890",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jami.kampnp.p1@direct.goshenphysicians.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S. Main Street",
            "address_2": "Suite A, Heart & Vascular Center",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jami.kamp@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1855 S. Main Street",
            "address_2": "Suite A, Heart & Vascular Center",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465264723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.