Individual provider Active NPI

Amy Elizabeth Vander Vorste, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1952929366
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1084540 Issued in TX
Practice address
1910 Roseland Blvd
Tyler, TX 75701-4246
Phone
(903) 533-0644
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 1084540 TX Primary

Addresses

Primary practice location

1910 Roseland Blvd
Tyler, TX 75701-4246

Mailing address

1910 Roseland Blvd
Tyler, TX 75701-4246
Phone (903) 533-0644

Other practice location 1

910 E Houston St Ste 550
Tyler, TX 75702-8366
Phone (903) 606-8718

Other practice location 2

910 E Houston St Ste 100
Tyler, TX 75702-8363
Phone (903) 606-8718

Other practice location 3

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Other names 1

  • Amy Elizabeth Enlow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220821000014 TX Practitioner - Nurse Practitioner 6901289164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tyler Internal Medicine Associates, P.aGroup PAC ID 3476541731, 14 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1910 Roseland Blvd
Tyler, TX 75701-4246
Phone (903) 533-0644

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

910 E Houston St
Tyler, TX 75702-8364

Hospital & facility affiliations

  • Paradigm Homecare Home health agency, Tyler, TX, CCN 457833
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Internal Medicine Associates, P.a. CurrentSince Jul 25, 2022 Accepting new patients

Locations

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

1910 Roseland Blvd
Tyler, TX 75701
Phone (903) 533-0644

Interoperability endpoints

  • Direct secure messaging: amy.vandervorste@tima.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADCFBA

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 2

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1952929366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014246",
            "telephone_number": "903-533-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014246",
            "telephone_number": "903-533-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Houston St Ste 550",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028366",
            "country_code": "US",
            "telephone_number": "903-606-8718",
            "fax_number": "903-606-1218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E Houston St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028363",
            "country_code": "US",
            "telephone_number": "903-606-8718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-593-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDER VORSTE",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1084540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ENLOW",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.