AMY L WYATT AGPCNP
NPI 1508499278
Nurse Practitioner - Gerontology in Jefferson City, MO

Q: What is Amy Wyatt's NPI number?

The NPI number for Amy Wyatt is 1508499278. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Q: What is Amy Wyatt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Amy Wyatt was last updated on February 24, 2020. 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.

Active since February 20, 2020PECOS Enrolled

1125 MADISON ST, JEFFERSON CITY, MO 65101(573) 632-5000 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2020, Feb 20, 2020 (2 updates tracked since 2020).

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About Amy L Wyatt Agpcnp NPPES

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

AMY L WYATT AGPCNP (NPI 1508499278) is an individual gerontology provider in Jefferson City, Missouri, licensed in Missouri (2019037098) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508499278

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAMY L WYATTCredential: AGPCNP

Location Address1125 MADISON STJefferson City, MO 65101-5227

Mailing AddressPo Box 644Saint James, MO 65559-0644 · (573) 263-5593

Phone(573) 632-5000

Sole ProprietorNo

Enumeration DateFebruary 20, 2020

Last NPPES UpdateFebruary 24, 20202 updates tracked since enumeration

✔ NPI 1508499278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MO · 2019037098

1125 MADISON ST, Jefferson City, MO 65101

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy L Wyatt Agpcnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65101 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

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