AMY BEDAN POFF MSN NPC NPI 1932394087

NPI Information

NPI: 1932394087
Provider Name: AMY BEDAN POFF, MSN NPC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: COMMUNITY MEDICAL ASSOCIATES INC

PECOS Registration: Yes

Address:
2051 CLEVIDENCE BLVD STE B
CLARKSVILLE, IN
ZIP 47129
Phone: (812) 280-9145
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Amy Bedan Poff, MSN NPC is an adult health nurse practitioner in Clarksville, IN with 17 years of experience. Amy Bedan Poff, MSN NPC NPI is 1932394087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2051 CLEVIDENCE BLVD STE B
CLARKSVILLE, IN
ZIP 47129
Phone: (812) 280-9145
Fax: (502) 280-6627

The NPI 1932394087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 10/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		71002491A	INDIANA	No
2	363LA2200X	Nurse Practitioner	Adult Health	28124768A	INDIANA	No
3	363LA2200X	Nurse Practitioner	Adult Health	71002491A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	71002491A	OTHER	INDIANA	LICENSE
2	000001017617	OTHER	KENTUCKY	ANTHEM - NCMA
3	100930	OTHER	KENTUCKY	SIHO - NCMA
4	200905020	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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