Amber Riley Fontan, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R877207 Issued in MS

Practice address

10330 Road 375
Philadelphia, MS 39350-3249

Phone

(601) 656-0226

Fax

(601) 389-6759

NPI assigned

Jan 22, 2013

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amber Riley Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Central Mississippi Health Care IncGroup PAC ID 0941103717, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
• Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 250043
• Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 251340
• Winston Medical Center Hospital, Louisville, MS, CCN 250027
• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.riley.1@17349.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4

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.

• East Central Mississippi Health Care, Inc

  dba Walnut Grove Clinic

  • Federally Qualified Health Center (FQHC)
  • Walnut Grove, MS
  • NPI 1255387619
  Medicare reassignment Care Compare group NPD
• East Central Mississippi Health Care, Inc.

  dba Newton Health Care

  • Federally Qualified Health Center (FQHC)
  • Newton, MS
  • NPI 1184090482
  NPD
• East Central Mississippi Health Care Inc

  dba Sebastopol Clinic

  • Federally Qualified Health Center (FQHC)
  • Sebastopol, MS
  • NPI 1699721209
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation
• Neshoba County General Hospital

  • Critical Access Hospital
  • Philadelphia, MS
  • NPI 1083659734
  Care Compare affiliation
• Sta-Home Health Agency of Carthage, Inc

  dba AccentCare Home Health of Carthage

  • Home Health Agency
  • Carthage, MS
  • NPI 1275674533
  Care Compare affiliation
• Winston County Medical Foundation

  dba Winston Medical Center

  • General Acute Care Hospital
  • Louisville, MS
  • NPI 1073597126
  Care Compare affiliation

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1841538030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 ROAD 375",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503249",
            "telephone_number": "601-656-0226",
            "fax_number": "844-816-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 ROAD 375",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503249",
            "telephone_number": "601-656-0226",
            "fax_number": "601-389-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAN",
        "first_name": "AMBER",
        "middle_name": "RILEY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R877207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00050524",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "RILEY",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nurse Practitioner in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.

Verify at the official NPI Registry.