Active NPI
Amanda L Koch, NP
- Nurse Practitioner
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LG-0011462
- Practice address
- 540 S Governors Ave Ste 100
Dover, DE 19904-3530 - Phone
- (302) 526-1470
- Fax
- (302) 674-1398
- NPI assigned
- Aug 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0011462 | DE | |
| Nurse Practitioner | 363L00000X | LG-0011462 | DE | Primary |
Addresses
Primary practice location
540 S Governors Ave Ste 100
Dover, DE 19904-3530
Mailing address
640 S State Street, Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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 |
|---|---|---|---|---|
| I20210121000339 | DE | Practitioner - Nurse Practitioner | 9436563186 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayhealth Medical Center, Inc
Practice addresses (Care Compare)
640 S State St
Dover, DE 19901-3530
Hospital & facility affiliations
- Bayhealth Medical Center, Kent Campus
- Bayhealth Hospital, Sussex Campus
- Christiana Hospital
- Beebe Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Past | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Past | Accepting new patients |
Locations
540 S Governors Ave
Ste 100
Dover, DE 19904
Phone (302) 526-1470
640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
101 Wellness Way
Ste 250
Milford, DE 19963
Phone (302) 744-6220
18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499
18383 Hudson Rd
#2
Milton, DE 19968
Organizations & group practices 17
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.
-
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
-
- Clinic/Center
- Milford, DE
- NPI 1265422828
-
- Cardiovascular Disease Physician
- Milford, DE
- NPI 1063938439
-
- Medical Oncology Physician
- Dover, DE
- NPI 1295292183
-
- Clinic Pharmacy
- Dover, DE
- NPI 1336420280
-
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1417473935
-
- Anatomic Pathology Physician
- Dover, DE
- NPI 1609333590
-
- Radiation Oncology Physician
- Dover, DE
- NPI 1841757739
-
- Medical Oncology Physician
- Milford, DE
- NPI 1104383041
-
- Sleep Disorder Diagnostic Clinic/Center
- Dover, DE
- NPI 1326463167
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1831700533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S STATE STREET, MAIL CODE 3055",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-480-1688",
"fax_number": "302-480-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S GOVERNORS AVE STE 100",
"city": "DOVER",
"state": "DE",
"postal_code": "199043530",
"telephone_number": "302-526-1470",
"fax_number": "302-674-1398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0011462",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0011462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.