Amanda Falldorf, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.020035 Issued in OH

Practice address

1843 W Main St
Troy, OH 45373

Phone

(937) 208-4120

Fax

(937) 208-4126

NPI assigned

Sep 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Health Urgent Care, Inc.Group PAC ID 3870848088, 39 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.63 of 100Reported as group

Quality

79.22

Promoting interoperability

100

Improvement activities

40

Cost

82.87

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Premier Health Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Dayton, OH
  • NPI 1134633761
  Medicare reassignment Care Compare group NPD
• Mvhe Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659504785
  Medicare reassignment NPD
• Mvhe Inc

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD
• Mvhe Inc

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1356394795

  Nurse Practitioner

  NPD (past)
• Uvpc Specialists Inc.

  • Surgery Physician
  • Troy, OH
  • NPI 1831115492
  NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1982151148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3186",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-208-4120",
            "fax_number": "937-208-4126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Commerce Center Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454142672",
            "country_code": "US",
            "telephone_number": "937-208-6879",
            "fax_number": "937-208-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8290 Old Troy Pike Ste 40A",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454241056",
            "country_code": "US",
            "telephone_number": "937-208-4120",
            "fax_number": "937-208-4126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 S Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222819",
            "country_code": "US",
            "telephone_number": "937-208-6879",
            "fax_number": "937-208-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Prestige Plaza Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453427304",
            "country_code": "US",
            "telephone_number": "937-208-6871",
            "fax_number": "937-208-6874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "752 N Main St",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450668944",
            "country_code": "US",
            "telephone_number": "937-208-6865",
            "fax_number": "937-208-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLDORF",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.020035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192480",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enrique Ellenbogen, M.D. Inc
• Kendall Erdahl, MD
• Jessica Dawn Evans, LPCC
• Eyemart Express LLC
• Faith Ventures, LLC
• Nicolas Max Farenwald, DO
• Kim Renee Feeny, R.N.
• Michael Alan Feinstein, D.D.S.
• Andrew Fellers, MD
• Juan Fernandez-Gomez, D.C.

• Nurse Practitioner in Troy, OH
• Providers in Troy, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.