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MRS. AMY S NEWTON APRN FNP-C
NPI 1487292272
Nurse Practitioner - Family in Elyria, OH

Active since December 12, 2019PECOS Enrolled
79.48/100
CMS Quality Rating
630 E RIVER ST, ELYRIA, OH 44035(440) 329-7532(440) 329-7470 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Amy S Newton Aprn Fnp-c NPPES

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

MRS. AMY S NEWTON APRN FNP-C (NPI 1487292272) is an individual family provider in Elyria, Ohio, licensed in Ohio (026073) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487292272
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMY S NEWTONCredential: APRN FNP-C
Location Address630 E RIVER STElyria, OH 44035-5902
Mailing Address630 E River StElyria, OH 44035-5902
Phone(440) 329-7532
Fax(440) 329-7470
Sole ProprietorYes
Enumeration DateDecember 12, 2019
✔ NPI 1487292272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 026073
630 E RIVER ST, Elyria, OH 44035
Open in Google Maps ↗

Other Names 1

Former Name (1)Amy S Mclaughlin

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 and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amy S Newton Aprn Fnp-c 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 Newton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lorain County Health & Dentistry
0.7 mi
Clinic/Center
801 MIDDLE AVE.
Elyria, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 88 clinicians in this Medicare group
NPI 1336484559 (440) 240-1655
University Hospitals Medical Group Inc
27 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

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 44035 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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

JESSICA ANNE YAGER
Nurse Anesthetist, Certified Registered
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 323-8515
BRETZYL M LISCOE
Nurse Practitioner (Critical Care Medicine)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 323-8515
WILLIAM BROWN
Physician Assistant
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 326-5414
MARY LAURETTA GILCHRIST
Nurse Practitioner (Family)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
MS. AMY M. KING NP
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
DR. ALLAN F STARR MD
Emergency Medicine
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
DR. KALVA S. REDDY M.D.
Anesthesiology
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500
AMY M KOVALSKY RN, CNP
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Lorain County (440) 329-7500

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 Newton's NPI number?

The NPI number for Amy Newton is 1487292272. It was assigned to this individual provider in the NPPES registry on December 12, 2019. The provider is also known as Amy S Mclaughlin.

Where is Amy Newton located?

Amy Newton practices at 630 E River St, Elyria, OH 44035. The listed phone number is (440) 329-7532.

What is Amy Newton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Newton enrolled in Medicare?

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

Which organizations bill Medicare for Amy Newton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Newton reassigns Medicare benefits to 2 organizations: Lorain County Health & Dentistry (Elyria, OH) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Newton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Newton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual list Amy Newton 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 Newton was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.