Individual provider Active NPI

Amy L Partin, APRN

  • Gerontology Nurse Practitioner
  • Madison, IN
National Provider Identifier
1922710607
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71013387A Issued in IN
Practice address
1373 E State Road 62
Madison, IN 47250-7328
Phone
(812) 801-0152
Fax
(812) 801-0150
NPI assigned
Dec 14, 2022
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28184420A IN
Gerontology Nurse Practitioner 363LG0600X 71013387A IN Primary

Addresses

Primary practice location

1373 E State Road 62
Madison, IN 47250-7328

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

1373 E State Road 62
Madison, IN 47250-7328
Phone (812) 801-0152

Other identifiers 2

IdentifierTypeStateIssuer
7100873760MedicaidKY
300070481MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230213001723 IN Practitioner - Nurse Practitioner 8325410731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28184420AINMDNurse Practitioner
71013387AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton - Kings Daughters Health Inc Nurse Practitioner CurrentSince Dec 14, 2022 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Dec 14, 2022 Accepting new patients
M Care PLLC CurrentSince Apr 22, 2025 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

443 Spring St
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 288-8375

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

Interoperability endpoints

  • Direct secure messaging: apartin309605@direct.nortonhealthcare.org

Organizations & group practices 8

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": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1922710607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E STATE ROAD 62",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0152",
            "fax_number": "812-801-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 E State Road 62",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0152",
            "fax_number": "812-801-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTIN",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28184420A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71013387A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100873760",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300070481",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.