Amber Nicole Wyatt, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APN0000008360 Issued in TN

Practice address

644 Highway 114 S
Scotts Hill, TN 38374-5023

Phone

(731) 968-3646

Fax

(731) 968-1870

NPI assigned

Dec 5, 2005

Reactivated

Jan 30, 2008

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotts Hill Medical Clinic, IncGroup PAC ID 7113306929, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Volunteer Homecare of West TN Home health agency, Parsons, TN, CCN 447561
• Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Hardin Medical Center Hospital, Savannah, TN, CCN 440109
• West Tennessee Healthcare Camden Hospital Hospital, Camden, TN, CCN 441316

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.wyatt.1@26260.direct.athenahealth.com

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.

• Scotts Hill Medical Clinic, Inc

  • Family Medicine Physician
  • Scotts Hill, TN
  • NPI 1538805023
  Medicare reassignment Care Compare group
• Decatur County Family Practice PC

  • Family Medicine Physician
  • Parsons, TN
  • NPI 1114027018
  NPD
• Christopher D Marshall MD PLLC

  dba Medical Specialty Clinic

  • Rural Health Clinic/Center
  • Parsons, TN
  • NPI 1659762391
  NPD (past)

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

• Camden General Hospital, Inc.

  dba West Tennessee Healthcare Camden Hospital

  • Critical Access Hospital
  • Camden, TN
  • NPI 1659347920
  Care Compare affiliation
• Hardin County General Hospital

  dba Hardin Medical Center

  • General Acute Care Hospital
  • Savannah, TN
  • NPI 1699754812
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Tennessee Valley Home Care, LLC

  dba Tennessee Quality Care - Home Health Central

  • Home Health Agency
  • Parsons, TN
  • NPI 1396702536
  Care Compare affiliation
• Volunteer Home Care of West Tennessee Inc.

  • Home Health Agency
  • Parsons, TN
  • NPI 1548211717
  Care Compare affiliation

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1871577684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "383740187",
            "telephone_number": "731-614-1034",
            "fax_number": "731-549-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 HIGHWAY 114 S",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "383745023",
            "telephone_number": "731-968-3646",
            "fax_number": "731-968-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 University Ave",
            "address_purpose": "LOCATION",
            "city": "Parsons",
            "state": "TN",
            "postal_code": "383632972",
            "country_code": "US",
            "telephone_number": "731-847-6010",
            "fax_number": "731-847-6011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TN",
            "postal_code": "380121610",
            "country_code": "US",
            "telephone_number": "931-289-4211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 E Main St",
            "address_purpose": "LOCATION",
            "city": "Erin",
            "state": "TN",
            "postal_code": "370614115",
            "country_code": "US",
            "telephone_number": "336-944-6420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 W Church St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "TN",
            "postal_code": "383512077",
            "country_code": "US",
            "telephone_number": "731-968-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000008360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4138067",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "4069459",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3349547",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scotts Hill Discount Drugs,LLC (Scotts Hill Discount Drugs)
• Scotts Hill Medical Clinic, Inc
• Linda S Siegl, FNP
• The Grove Primary Care Clinic LLC
• Tad Duane Ward, FNP

• Primary Care Nurse Practitioner in Scotts Hill, TN
• Providers in Scotts Hill, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.