Nicole Elizabeth Amstutz, CNM - Medicare Advanced Practice Midwife in Ogden, UT

Nicole Elizabeth Amstutz, CNM is a medicare enrolled "Advanced Practice Midwife" in Ogden, Utah. Her current practice location is 5319 S 500 E Ste C, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 917-6104.

Nicole Elizabeth Amstutz is licensed to practice in California (license number 236130) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902406929.

Contact Information

Nicole Elizabeth Amstutz, CNM
5319 S 500 E Ste C,
Ogden, UT 84405-7218
(801) 917-6104
Not Available



Provider's Profile

Full NameNicole Elizabeth Amstutz
GenderFemale
SpecialityAdvanced Practice Midwife
Location5319 S 500 E Ste C, Ogden, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902406929
  • Provider Enumeration Date: 10/28/2020
  • Last Update Date: 10/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133577984
  • Enrollment ID: I20231205000464

Medical Identifiers

Medical identifiers for Nicole Elizabeth Amstutz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902406929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 236130 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Elizabeth Amstutz allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Elizabeth Amstutz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Elizabeth Amstutz, CNM
489 La Floresta Dr,
Brea, CA 92823-6312

Ph: (831) 297-8852
Nicole Elizabeth Amstutz, CNM
5319 S 500 E Ste C,
Ogden, UT 84405-7218

Ph: (801) 917-6104

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Advanced Practice Midwife Nurses in Ogden, UT

Camra Janell Bearnson, WHNP/ CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1920 W 250 N Ste 17, Ogden, UT 84404
Phone: 801-689-3490    
Amy Dawn Loftus, APRN, WHNP-BC, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 4403 Harrison Blvd Ste 4815, Ogden, UT 84403
Phone: 801-387-8350    Fax: 801-387-8355
Christina Marie Francis, C.N.M.
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 5495 S 500 E Ste 320, Ogden, UT 84405
Phone: 801-644-2650    
Ambur Rice, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 5319 S 500 E Ste C, Ogden, UT 84405
Phone: 801-917-6104    

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