Individual provider Active NPI

Amy Reed Blevins, LNP

  • Nurse Practitioner
  • Wytheville, VA
National Provider Identifier
1841254018
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024165275 Issued in VA
Practice address
770 W Ridge Rd
Suite 220
Wytheville, VA 24382-1046
Phone
(276) 223-3329
Fax
(276) 223-0478
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024165275 VA Primary

Addresses

Primary practice location

770 W Ridge Rd
Suite 220
Wytheville, VA 24382-1046

Mailing address

770 W Ridge Rd
Suite 220
Wytheville, VA 24382-1046
Phone (276) 223-3329

Other identifiers 4

IdentifierTypeStateIssuer
P00017719OtherMEDICARE RAILROAD
C04810OtherVAMEDICARE GROUP
004945298MedicaidVA
01451713OtherVAAMERGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110421000298 VA Practitioner - Nurse Practitioner 4789869520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Rogers Community ServicesGroup PAC ID 1254387475, 33 clinicians

Practice addresses (Care Compare)

216 Hospital Ave
Marion, VA 24354-3157
Phone (276) 783-8185

750 W Ridge Rd
Wytheville, VA 24382-1187
Phone (276) 223-3201

770 W Ridge Rd
Wytheville, VA 24382-1187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Rogers Community Services CurrentSince Aug 22, 2002 Accepting new patients

Locations

216 Hospital Ave
Marion, VA 24354
Phone (276) 783-8185

770 W Ridge Rd
Ste 220
Wytheville, VA 24382
Phone (276) 223-3200

770 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-3200

Organizations & group practices 1

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1841254018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W RIDGE RD",
            "address_2": "SUITE 220",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821046",
            "telephone_number": "276-223-3329",
            "fax_number": "276-223-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W RIDGE RD",
            "address_2": "SUITE 220",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821046",
            "telephone_number": "276-223-3329",
            "fax_number": "276-223-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "AMY",
        "middle_name": "REED",
        "credential": "LNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024165275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00017719",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C04810",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945298",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERGROUP",
            "identifier": "01451713",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.