Amber Nicole Gottman, NP-C
Individual provider Active NPI Family Nurse Practitioner · Palmyra, MO
NPI 1831589944 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1831589944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2015001942 (MO)
- Practice address
- 1811 S Main St
Palmyra, MO 63461-1961 - Phone
- (573) 769-2231
- Fax
- (573) 769-3953
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Saint Louis University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blessing Hospital
Practice addresses (Care Compare)
6996 County Rd
Suite 326
Palmyra, MO 63461-3119
Phone (217) 223-8400
Hospital & facility affiliations
- Blessing Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150313000111 | MO | Practitioner - Nurse Practitioner | 6103142922 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current |
Accepting new patients | |
| Blessing Corporate Services Inc | Family | Current |
Accepting new patients |
| Blessing Corporate Services Inc | Current |
Accepting new patients | |
| Blessing Corporate Services, Inc | Current | Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients |
Locations
101 Medical Dr
Hannibal, MO 63401
100 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
6996 County Road 326
Palmyra, MO 63461
Phone (573) 769-3710
1811 S Main St
Palmyra, MO 63461
Phone (573) 769-2231
Interoperability endpoints
- ambergottman@bcs.allscriptsdirect.net
- agottman@hannibalclinic.directbygreenway.com
- https://fhir.blessinghospital.com/R4/open-Prod
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015001942 | MO | Yes |
Addresses
Primary practice location
1811 S Main St
Palmyra, MO 63461-1961
Mailing address
100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250
Other practice location 1
100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250 ext. 3132
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | AGottman@hannibalclinic.directbygreenway.com | Direct | |
| Direct Messaging Address | AGottman@hannibalclinic.directbygreenway.com | Direct |
Other providers in Palmyra, MO
- Bristol Care, Inc.
- Kimberly Ann Bunten
- Deidra F Cole
- Family Chiropractic Care, Inc.
- Amanda Elizabeth Gottman
- Irina Nicole Gottman
- Jazlin Rose Gottman
- Hannibal Clinic Operations, L.L.C.
- Elizabeth Harmening
- Harmony Therapy and Wellness, LLC
All providers in Palmyra, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.