Amy Denise Poindexter, NP

Key facts

NPI

1962656090

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

5004142 (NC)

Practice address

105 N Crutchfield St # 2
Dobson, NC 27017-8804

Phone

(336) 789-2922

Fax

(336) 789-0856

NPI assigned

Nov 17, 2008

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Hospice of Surry County, Inc Hospice and Palliative Medicine (Family Medicine) Physician · Dobson, NC · NPI 1578854147
  Medicare reassignment Care Compare group NC
• Hospice of Surry County, Inc Hospice and Palliative Medicine (Family Medicine) Physician · Galax, VA · NPI 1033485073
  Medicare reassignment Care Compare group VA
• Hospice of Surry County, Inc Community Based Hospice Care Agency · Galax, VA · NPI 1346422847
  Care Compare group NPD (past)
• Hospice of Surry County, Inc Community Based Hospice Care Agency · Dobson, NC · NPI 1851355424
  Care Compare group
• Nephrology Associates, P.L.L.C. Family Nurse Practitioner · Winston Salem, NC · NPI 1003569849
  NPD FAMILY

Hospital & facility affiliations 2

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

• Hospice of Surry County, Inc Community Based Hospice Care Agency · Dobson, NC · NPI 1851355424
  Care Compare affiliation Hospice
• Hospice of Surry County, Inc Community Based Hospice Care Agency · Galax, VA · NPI 1346422847
  Care Compare affiliation Hospice

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

North Carolina Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospice of Surry County Inc (8 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain Valley Hospice & Palliative Care Hospice · Dobson, NC · CCN 341546
• Mountain Valley Hospice & Palliative Care Hospice · Galax, VA · CCN 491580

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NC, VA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Amy Denise Snow Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 6, 2024.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1962656090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270170325",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST # 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7599 Carrollton Pike",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243336800",
            "country_code": "US",
            "telephone_number": "276-728-1030",
            "fax_number": "276-728-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POINDEXTER",
        "first_name": "AMY",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180149",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004142",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apoindexter@mtnvalleyhospice.org",
            "affiliation": "N",
            "address_1": "105 N Crutchfield St # 2",
            "city": "Dobson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270178804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SNOW",
            "middle_name": "DENISE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dobson, NC

• Emily Megan Park, CCC-SLP
• Peace Lily Development, Inc.
• Peace Lily Development, Inc.
• Phoenix Counseling Collaborative LLC
• Piedmont Medical, Inc.
• Kyle Wesley Polzin, CCC-SLP
• Pqa Healthcare, Inc
• Pqa Healthcare, Inc
• Pqa Healthcare, Inc
• Pqa Healthcare, Inc.

All providers in Dobson, NC · Family Nurse Practitioner in North Carolina