Individual provider Active NPI

Amanda Marie Scheidt, NP

  • Nurse Practitioner
  • Demotte, IN
National Provider Identifier
1962840751
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28164971A Issued in IN
Practice address
310 N Halleck St
Demotte, IN 46310-9419
Phone
(219) 987-3301
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28164971A IN
Nurse Practitioner 363L00000X 28164971A IN Primary

Addresses

Primary practice location

310 N Halleck St
Demotte, IN 46310-9419

Mailing address

7747 E 124TH Ave
Crown Point, IN 46307-0010
Phone (219) 201-1980

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
I20130926000863 IN Practitioner - Nurse Practitioner 0446494728 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28164971AINMDFamily Nurse Practitioner

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Sep 14, 2015 Accepting new patients

Locations

310 N Halleck St
Demotte, IN 46310
Phone (219) 987-3301

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostics of Indiana LLC 121 clinicians

Practice addresses (Care Compare)

1407 Lincolnway
La Porte, IN 46350-3105
Phone (866) 389-2727

310 N Halleck St
Demotte, IN 46310-9419
Phone (866) 389-2727

505 E 1100
Chesterton, IN 46304-9697
Phone (866) 389-2727

801 Main St
Munster, IN 46321-4066
Phone (866) 389-2727

9805 Geist Crossing Dr
Indianapolis, IN 46256-4819
Phone (866) 389-2727

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1962840751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7747 E 124TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070010",
            "telephone_number": "219-201-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N HALLECK ST",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463109419",
            "telephone_number": "219-987-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDT",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28164971A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28164971A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demotte, IN

Sources for this page

Verify at the official NPI Registry.