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AMY E FATHMAN CFNP
NPI 1003837352
Nurse Practitioner in Westerville, OH

Active since July 22, 2006PECOS Enrolled
90.38/100
CMS Quality Rating
400 ALTAIR PKWY STE 3100, WESTERVILLE, OH 43082(614) 360-9995(844) 571-1777 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2026, Dec 11, 2025, Nov 23, 2025 and 5 more (8 updates tracked since 2020).

About Amy E Fathman Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY E FATHMAN CFNP (NPI 1003837352) is an individual nurse practitioner in Westerville, Ohio, licensed in Kentucky (3003600) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003837352
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY E FATHMANCredential: CFNP
Location Address400 ALTAIR PKWY STE 3100Westerville, OH 43082-7653
Mailing Address9855 Washington Trace RdCalifornia, KY 41007-8507
Phone(614) 360-9995
Fax(844) 571-1777
Sole ProprietorNo
Enumeration DateJuly 22, 2006
Last NPPES UpdateFebruary 6, 20268 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1003837352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3003600
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
400 ALTAIR PKWY STE 3100, Westerville, OH 43082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy E Fathman Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Fathman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Of Cincinnati
103 mi
Primary Care
5818 MADISON RD, BRAXTON F CANN MEMORIAL MEDICAL CENTER
Cincinnati, OH 45227
  • Reassigned Medicare billing, Ohio enrollment
  • 49 clinicians in this Medicare group
NPI 1770598492 (513) 271-6089
Summit Medical Group, Inc.
111 mi
Urgent Care
2626 ALEXANDRIA PIKE
Highland Heights, KY 41076
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1881026169 (859) 757-0434

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIELLE KAY-TANIS KOESTNER D.O.
Family Medicine
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 43082
Delaware County (614) 360-9995
DR. CHRISTOPHER MCCOY MD
Family Medicine
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 43082
Delaware County (614) 899-2700
FEMM FOUNDATION
Family Medicine
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 43082
Delaware County (614) 360-9995
DR. ELLEN CHRISTINE SCHWARTZ MD
Family Medicine
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 43082
Delaware County (614) 360-9995
LINDSAY RERKO DO
Family Medicine
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 43082
Delaware County (614) 360-9995
ZACHARY DANIEL JONES PA
Physician Assistant
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 43082
Delaware County (614) 360-9995
JOHN PHILAMER V ABAD M.D.
Family Medicine
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 43082
Delaware County (614) 899-2700
MARISA ROSE HARTNETT FNP-C
Nurse Practitioner (Family)
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 43082
Delaware County (614) 360-9995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Fathman's NPI number?

The NPI number for Amy Fathman is 1003837352. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Amy Fathman located?

Amy Fathman practices at 400 Altair Pkwy Ste 3100, Westerville, OH 43082. The listed phone number is (614) 360-9995.

What is Amy Fathman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Fathman enrolled in Medicare?

Yes. Amy Fathman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Fathman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Fathman reassigns Medicare benefits to 2 organizations: City Of Cincinnati (Cincinnati, OH) and Summit Medical Group, Inc. (Highland Heights, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Fathman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Fathman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Amy Fathman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Fathman was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.