Jamie M. Amble, CNP
Individual provider Active NPI Family Nurse Practitioner · Pella, IA
NPI 1972808079 · NPPES record last updated Mar 7, 2022
Key facts
- NPI
- 1972808079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A-098811 (IA)
- Practice address
- 405 Monroe St
Pella, IA 50219-1189 - Phone
- (641) 621-2200
- Fax
- (641) 621-2335
- NPI assigned
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pella Regional Health Center
Practice addresses (Care Compare)
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
Hospital & facility affiliations
- Pella Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120124000900 | IA | Practitioner - Nurse Practitioner | 9436332202 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-098811 | IA | MD | Family Nurse Practitioner |
| 209008647 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Health Collaborative PLLC | Family | Current |
Accepting new patients |
| Pella Regional Health Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current |
Accepting new patients |
Locations
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209008647 | IL | |
| Family Nurse Practitioner | 363LF0000X | A-098811 | IA | Yes |
Addresses
Primary practice location
405 Monroe St
Pella, IA 50219-1189
Mailing address
405 Monroe St
Pella, IA 50219-1189
Phone (641) 621-2200
Other names
- Jamie M. Randolph-Harris
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prhc@direct.pellahealth.kobledirect.com | Direct |
Other providers in Pella, IA
- Abide Counseling, Inc
- Rachel Abughazaleh
- Karen Lynn Ahrens
- Christopher Robert Allen
- Jeffrey Frank Allen
- Anesthesia Iowa PLC
- Kennan Paavo Archer
- Nicole Arends
- Nicole Rae Bandstra
- Russell Evan Bandstra
All providers in Pella, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.