Individual provider Active NPI

Amanda Ann Fox, NP-C

  • Family Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1922440197
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.14614-NP Issued in OH
Practice address
7073 Clyo Rd
Centerville, OH 45459-4816
Phone
(937) 435-5857
Fax
(937) 912-4960
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.14614-NP OH Primary

Addresses

Primary practice location

7073 Clyo Rd
Centerville, OH 45459-4816

Mailing address

36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (734) 464-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130819000435 OH Practitioner - Nurse Practitioner 1850533043 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

550 Mirabeau St
Greenfield, OH 45123-1617
Phone (937) 981-9259

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
74.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14614-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc CurrentSince Feb 23, 2014 Accepting new patients
Adena Medical Group LLC CurrentSince May 12, 2018 Accepting new patients
Ohio Post-Acute Medical Services 1 Inc CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Consultants of Ohio, Inc CurrentSince Nov 1, 2014 Accepting new patients
Mvhe Inc CurrentSince Feb 23, 2014 Accepting new patients
Apogee Medical Group Ohio Inc CurrentSince Dec 1, 2019 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

7073 Clyo Rd
Dayton, OH 45459
Phone (937) 435-5857

425 Lauricella Ct
Englewood, OH 45322
Phone (937) 836-5143

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

5070 Lamme Rd
Moraine, OH 45439
Phone (937) 293-7703

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

Interoperability endpoints

  • Direct secure messaging: afox1076934@direct.osumc.edu

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1922440197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36123 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7073 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594816",
            "telephone_number": "937-435-5857",
            "fax_number": "937-912-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14614-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.