AMY NICOLE BISHOP
NPI 1205336484
Nurse Anesthetist, Certified Registered in Salt Lake City, UT

Active since February 14, 2018PECOS EnrolledAccepts Medicare Assignment
48 W BROADWAY APT 406, SALT LAKE CITY, UT 84101(801) 558-9262 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy Nicole Bishop NPPES

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

AMY NICOLE BISHOP (NPI 1205336484) is an individual nurse anesthetist, certified registered in Salt Lake City, Utah, licensed in Vermont (101.0134316) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Porter Hospital, Inc, and maintains a secondary practice location in Middlebury.

NPPES Registry Identity

NPI1205336484
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMY NICOLE BISHOP
Location Address48 W BROADWAY APT 406Salt Lake City, UT 84101-2045
Mailing Address48 W Broadway Apt 406Salt Lake City, UT 84101-2045 · (801) 558-9262
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 14, 2018
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1205336484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in VT · 101.0134316
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 7600453-3102 (UT)
Also ListedAnesthesiologyTaxonomy 207L00000X · License CRNA-01526 (NM)
48 W BROADWAY APT 406, Salt Lake City, UT 84101

Secondary Practice Location 1

Location 1115 Porter DrMiddlebury, VT 05753-8629 · Phone (802) 388-4701

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Nicole Bishop is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173886751
PECOS Enrollment IDI20200108001574
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 Reassignment

Medicare enrollment records show Amy Bishop reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
10 NORTH STREET, LITTLE CITY FAMILY PRACTICE
Vergennes, VT 05491
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1134457013 (Vermont)
  • 243 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84101 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bishop's NPI number?

The NPI number for Amy Bishop is 1205336484. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Amy Bishop located?

Amy Bishop practices at 48 W Broadway Apt 406, Salt Lake City, UT 84101. The listed phone number is (801) 558-9262.

What is Amy Bishop's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Amy Bishop enrolled in Medicare?

Yes. Amy Bishop is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amy Bishop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Bishop reassigns Medicare benefits to Porter Hospital Inc (Vergennes, VT). The 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 Bishop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Bishop accept?

Health plans from Anthem Blue Cross and Blue Shield list Amy Bishop 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.

Is Amy Bishop affiliated with any hospitals?

According to CMS data, Amy Bishop is affiliated with Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Amy Bishop was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.