Individual provider Active NPI

Amy Elizabeth Yentsch, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Abington, MA
National Provider Identifier
1922556117
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2273321 Issued in MA
Practice address
673 Bedford St
Abington, MA 02351-1921
Phone
(781) 269-9767
Fax
(781) 421-3224
NPI assigned
Sep 15, 2016
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2273321 MA
Adult Health Nurse Practitioner 363LA2200X RN2273321 MA
Gerontology Nurse Practitioner 363LG0600X RN2273321 MA
Primary Care Nurse Practitioner 363LP2300X RN2273321 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2273321 MA Primary

Addresses

Primary practice location

673 Bedford St
Abington, MA 02351-1921

Mailing address

673 Bedford St
Abington, MA 02351-1921
Phone (781) 801-5766

Other practice location 1

293 Washington St Rear
Norwell, MA 02061-1781
Phone (781) 307-2962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161222001050 MA Practitioner - Nurse Practitioner 9830470210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Court St
Suite 203
Plymouth, MA 02360-8328
Phone (781) 269-9767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2273321MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Akoya Behavioral & Complementary Health Care PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

4 Court St
Ste 203
Plymouth, MA 02360
Phone (617) 934-6669

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": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1922556117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 BEDFORD ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023511921",
            "telephone_number": "781-801-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 BEDFORD ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023511921",
            "telephone_number": "781-269-9767",
            "fax_number": "781-421-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "293 Washington St Rear",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611781",
            "country_code": "US",
            "telephone_number": "781-307-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YENTSCH",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2273321",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2273321",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2273321",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2273321",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2273321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, MA

Sources for this page

Verify at the official NPI Registry.