Individual provider Active NPI

Amy R McCaul, FNP

  • Family Nurse Practitioner
  • Marion, OH
National Provider Identifier
1982168944
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024125 Issued in OH
Practice address
560 N Main St
Marion, OH 43302-2331
Phone
(833) 510-4357
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN273181 OH
Substance Abuse Rehabilitation Facility 324500000X OH
Family Nurse Practitioner 363LF0000X APRN.CNP.024125 OH Primary

Addresses

Primary practice location

560 N Main St
Marion, OH 43302-2331

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

7400 Huntington Park Dr
Columbus, OH 43235-5617
Phone (614) 505-0378

Other practice location 2

145 W Park St
Magnetic Springs, OH 43036-4303
Phone (937) 348-2686

Other identifiers 2

IdentifierTypeStateIssuer
0352958MedicaidOH
RN273181OtherOHOHIO BOARD OF NURSING RN LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address arm1172@columbus.rr.com Direct
Direct Messaging Address Amy.mccaul@pinnacletreatment.com Health Information Exchange (HIE) Pinnacle Treatment Centers OH-I, LLC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200601002971 OH Practitioner - Nurse Practitioner 0143641035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

560 N Main St
Marion, OH 43302-2331
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN273181OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jan 11, 2021 Accepting new patients
Brightview LLC CurrentSince Aug 26, 2024 Accepting new patients
Southwestern Recovery Center, LLC CurrentSince Jul 1, 2023 Accepting new patients
Southwestern Recovery Center, LLC Current Accepting new patients
Brightview, LLC CurrentSince Aug 26, 2024 Accepting new patients
Southwestern Recovery Center, LLC CurrentSince Jul 1, 2023 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

41850 W 11 Mile Rd
Ste 207
Novi, MI 48375

1471 Wills Creek Valley Dr
Cambridge, OH 43725
Phone (740) 254-4581

36 Lehman Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2273

5999 Bender Rd
Cincinnati, OH 45233
Phone (513) 922-1440

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

4307 Bridgetown Rd
Cincinnati, OH 45211
Phone (513) 377-1512

1155 Atwater Ave
Circleville, OH 43113
Phone (614) 592-0240

2350 Briggs Rd
Columbus, OH 43223
Phone (614) 274-8885

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

4461 Broadway
Ste 150
Grove City, OH 43123
Phone (614) 594-2141

1900 E Main St
Lancaster, OH 43130
Phone (740) 653-8630

300 Arlington Ave
Logan, OH 43138
Phone (740) 385-2155

560 N Main St
Marion, OH 43302
Phone (419) 674-6902

4400 Vannest Ave
Middletown, OH 45042
Phone (513) 217-5187

717 S 30th St
Newark, OH 43056
Phone (740) 522-1171

1578 Sherman Ave
Norwood, OH 45212
Phone (513) 351-0153

1500 Sherman Ave
Norwood, OH 45212
Phone (513) 403-8465

1300 Hill Rd N
Pickerington, OH 43147
Phone (330) 933-0922

512 Cresent Dr
Troy, OH 45373
Phone (570) 916-6061

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • Direct secure messaging: amy.mccaul@pinnacletreatment.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1982168944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433022331",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Huntington Park Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432355617",
            "country_code": "US",
            "telephone_number": "614-505-0378",
            "fax_number": "614-505-0399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 W Park St",
            "address_purpose": "LOCATION",
            "city": "Magnetic Springs",
            "state": "OH",
            "postal_code": "430364303",
            "country_code": "US",
            "telephone_number": "937-348-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAUL",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN273181",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352958",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING RN LICENSE",
            "identifier": "RN273181",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arm1172@columbus.rr.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Magnetic Springs",
            "address_1": "145 W Park St",
            "city": "Magnetic Springs",
            "state": "OH",
            "country_code": "US",
            "postal_code": "43036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amy.mccaul@pinnacletreatment.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Pinnacle Treatment Centers OH-I, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7400 Huntington Park Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432355617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.