INNA AURELIA AMARYLLIS MD
NPI 1316785652
Student in an Organized Health Care Education/Training Program in Flagstaff, AZ

Q: What is Inna Amaryllis's NPI number?

The NPI number for Inna Amaryllis is 1316785652. It was assigned to this individual provider in the NPPES registry on July 19, 2024.

Q: What is Inna Amaryllis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Inna Amaryllis was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 19, 2024PECOS Enrolled

2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 522-9400 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 8, 2025, Jul 19, 2024 (2 updates tracked since 2024).

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About Inna Aurelia Amaryllis Md NPPES

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

INNA AURELIA AMARYLLIS MD (NPI 1316785652) is an individual student in an organized health care education/training program in Flagstaff, Arizona, licensed in Arizona (R82087) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1316785652

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameINNA AURELIA AMARYLLISCredential: MD

Location Address2920 N 4TH STFlagstaff, AZ 86004-1816

Mailing Address2814 E 65th StIndianapolis, IN 46220-2225 · (574) 221-9828

Phone(928) 522-9400

Sole ProprietorNo

Enumeration DateJuly 19, 2024

Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1316785652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in AZ · R82087

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2920 N 4TH ST, Flagstaff, AZ 86004

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Secondary Practice Location 1

Location 12814 E 65th StIndianapolis, IN 46220-2225 · Phone (574) 221-9828

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inna Aurelia Amaryllis Md 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.

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.

DUNYA COPE LPC

Counselor (Professional)