Individual provider Active NPI

Amanda Nicole Rossi, DNP

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1932764628
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3013616 Issued in KY
Practice address
166 Pasadena Dr Ste 100
Lexington, KY 40503-2974
Phone
(859) 278-0319
Fax
(859) 277-9699
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013616 KY Primary

Addresses

Primary practice location

166 Pasadena Dr Ste 100
Lexington, KY 40503-2974

Mailing address

230 Lexington Green Cir Ste 600
Lexington, KY 40503-3326
Phone (859) 971-4695

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anovak100367@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190813000823 KY Practitioner - Nurse Practitioner 9032446133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

166 Pasadena Dr
Suite 100
Lexington, KY 40503-2974
Phone (859) 278-0319

Hospital & facility affiliations

  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3013616KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jul 22, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 22, 2019 Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

166 Pasadena Dr
Ste 100
Lexington, KY 40503
Phone (859) 278-0319

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1932764628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON GREEN CIR STE 600",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033326",
            "telephone_number": "859-971-4695",
            "fax_number": "859-971-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PASADENA DR STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032974",
            "telephone_number": "859-278-0319",
            "fax_number": "859-277-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anovak100367@bhkydirect.com",
            "affiliation": "N",
            "address_1": "166 Pasadena Dr Ste 100",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.