Individual provider Active NPI

Amy M Radatz

  • Nurse Practitioner
  • Salina, KS
National Provider Identifier
1972145803
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-78996-111 Issued in KS
Practice address
737 E Crawford St
Salina, KS 67401-5103
Phone
(785) 827-7261
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 53-78996-111 KS Primary

Addresses

Primary practice location

737 E Crawford St
Salina, KS 67401-5103

Mailing address

737 E Crawford St
Salina, KS 67401-5103
Phone (785) 827-7261

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.radatz.p1@direct.moweryclinic.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20191106000712 KS Practitioner - Nurse Practitioner 3870825128 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
Mowery Clinic LLCGroup PAC ID 3375539349, 21 clinicians

Practice addresses (Care Compare)

737 E Crawford St
Salina, KS 67401-5103
Phone (785) 827-7261

Hospital & facility affiliations

  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
91.42
Promoting interoperability
90
Improvement activities
40
Cost
64.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-78996-111KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mowery Clinic LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

737 E Crawford St
Salina, KS 67401
Phone (785) 827-7261

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1972145803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "785-827-7261",
            "fax_number": "785-833-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "785-827-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADATZ",
        "first_name": "AMY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78996-111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.radatz.p1@direct.moweryclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "737 E Crawford St",
            "city": "Salina",
            "state": "KS",
            "country_code": "US",
            "postal_code": "674015103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.