Individual provider Active NPI

Amelia Kiser, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Prestonsburg, KY
National Provider Identifier
1982131801
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3017572 Issued in KY
Practice address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone
(606) 886-8572
Fax
(606) 886-4433
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1140516 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017572 KY Primary

Addresses

Primary practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220407000832 KY Practitioner - Nurse Practitioner 5294121877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Comprehensive Care Center Inc 88 clinicians

Practice addresses (Care Compare)

838 S Mayo TRL
Paintsville, KY 41240-1384
Phone (606) 788-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1140516KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Care Center, Inc. CurrentSince Mar 17, 2022 Accepting new patients
Mountain Comprehensive Care Center, Inc. Current Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Mar 17, 2022 Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients

Locations

2222 Winchester Ave
Ashland, KY 41101
Phone (606) 325-8261

129 Fraley Miller Plz
Grayson, KY 41143

300 W Main St
Grayson, KY 41143
Phone (606) 316-4960

29 Cabin Frk
Jenkins, KY 41537

130 Town Hill Rd
Louisa, KY 41230

263 Ky Route 122
Martin, KY 41649
Phone (606) 949-1555

1110 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Ste A
Paintsville, KY 41240

118 River Dr
Pikeville, KY 41501
Phone (606) 432-3143

1330 S Mayo Trl
Ste 201
Pikeville, KY 41501
Phone (606) 432-0123

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

26229 US Highway 119 N
Toler, KY 41514
Phone (606) 237-0020

Interoperability endpoints

  • Direct secure messaging: amelia.kiser.p1@direct.mtcomp.nextgenshare.com

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982131801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "AMELIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1140516",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.