Individual provider Active NPI

Amber Rose Stutzman, FNP-C

  • Nurse Practitioner
  • Albion, IN
National Provider Identifier
1811566169
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71011437A Issued in IN
Practice address
101 E Park Dr
Albion, IN 46701-1438
Phone
(260) 636-6684
NPI assigned
Jun 22, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71011437A IN Primary
Family Medicine Physician 207Q00000X F06211568 IN

Addresses

Primary practice location

101 E Park Dr
Albion, IN 46701-1438

Mailing address

PO Box 821
Kendallville, IN 46755
Phone (260) 318-5739

Other practice location 1

1102 Hickory Hill Dr
Kendallville, IN 46755-2607
Phone (260) 242-6780

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL N/A
CONNECT URL N/A

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
I20210915001245 IN Practitioner - Nurse Practitioner 8820494982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

3282 Mallard Cove LN
Fort Wayne, IN 46804-2883
Phone (800) 683-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06211568INMDFamily Medicine Physician
71011437AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc Family Medicine CurrentSince Sep 8, 2021 Accepting new patients
Recover Together, Inc. Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Bowen Health Inc CurrentSince Sep 8, 2021 Accepting new patients
Recover Together, LLC Family Medicine CurrentSince Aug 25, 2025 Accepting new patients

Locations

1357 N Tamiami Trl
Unit B
North Fort Myers, FL 33903

3070 104th St
#100
Urbandale, IA 50322

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

101 E Park Dr
Albion, IN 46701
Phone (260) 636-6884

923 Cardinal Ct
Auburn, IN 46706
Phone (260) 925-8035

1017 3rd St
Columbus, IN 47201
Phone (608) 977-7226

3282 Mallard Cove Ln
Fort Wayne, IN 46804

836 N Detroit St
Lagrange, IN 46761
Phone (260) 499-3019

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1811566169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "46755",
            "telephone_number": "260-318-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PARK DR",
            "city": "ALBION",
            "state": "IN",
            "postal_code": "467011438",
            "telephone_number": "260-636-6684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Hickory Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467552607",
            "country_code": "US",
            "telephone_number": "260-242-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011437A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "F06211568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1102 Hickory Hill Dr",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1102 Hickory Hill Dr",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albion, IN

Sources for this page

Verify at the official NPI Registry.