Active NPI
Amy Lynn Atwell, FNP
- Family Nurse Practitioner
- Rochester, NY
National Provider Identifier
1801848411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F3346481
- Practice address
- 300 Meridian Centre Blvd
Ste 320
Rochester, NY 14618-3981 - Phone
- (716) 985-4494
- Fax
- (585) 463-3105
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 | F3346481 | NY | Primary |
Addresses
Primary practice location
300 Meridian Centre Blvd
Ste 320
Rochester, NY 14618-3981
Mailing address
1009 Windcross CT
Ste 101
Franklin, TN 37067-2678
Phone (615) 224-5438
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9513861 | Other | NY | INDEPENDENT HEALTH |
| 000560996003 | Other | NY | BCBSWNY |
| 02754832 | Medicaid | NY | |
| 00027487502 | Other | UNIVERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20150609002251 | NY | Order and Referring Only - Nurse Practitioner | 4880606953 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3346481 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1801848411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 WINDCROSS CT",
"address_2": "STE 101",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370672678",
"telephone_number": "615-224-5438",
"fax_number": "855-247-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MERIDIAN CENTRE BLVD",
"address_2": "STE 320",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183981",
"telephone_number": "716-985-4494",
"fax_number": "585-463-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWELL",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F3346481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9513861",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSWNY",
"identifier": "000560996003",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02754832",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00027487502",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.