Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114752888 Individual Practitioner Female Practitioner

Amy Kay Liddy , FNP-C

Nurse Practitioner • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Liddy, FNP-C is a certified Nurse Practitioner practicing in Fort Wayne, IN. With approximately 2 years of clinical experience since completing medical education in 2024, Amy Liddy delivers high-quality medical care to the local community at 7950 W JEFFERSON BLVD.

Amy Liddy is affiliated with Hospitalist Physicians Of Indiana Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

7950 W Jefferson Blvd

Fort Wayne, IN 468044160

Telephone 2604357001
Associated Practice Facility / Clinic
🏢 Iom Health System Lp Facility NPI 1306897335

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Liddy (2 Years) 2 Yrs
Fort Wayne Specialty Average (9.2 Years) 9.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71015963A

(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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Hospital & Practice Group Affiliations

Hospitalist Physicians Of Indiana Pc

7950 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604357001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Anuradha Bommakanti , MD

Internal Medicine - Pulmonary Disease

NPI 1003265455

Doctor of Medicine (M.D.)

Dr. Vaneska Bottino Da Costa , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1003292525

Doctor of Medicine (M.D.)

Jacqueline Shepard

Physician Assistant

NPI 1003686908
Dr. Bruce Sowers , MD

Emergency Medicine

NPI 1053411413

Doctor of Medicine (M.D.)

Ethyn Dust

Physician Assistant

NPI 1073499620
Dr. Jyotshal Ghimire , DO

Internal Medicine

NPI 1083316814

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2024

Registered at 7950 W JEFFERSON BLVD, FORT WAYNE, IN 468044160 (Tel: 2604357001)

📍
Updated Business Mailing Address September 03, 2024

Registered at 1522 SHADOW RUN TRL, BLUFFTON, IN 467141267 (Tel: 2604031093)

👤
Provider Name / Credentials Updated September 03, 2024

Recorded as AMY LIDDY, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 03, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114752888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2024
Last Update: October 30, 2024
Sole Proprietor: No

Mailing Address

1522 Shadow Run Trl

Bluffton, IN 467141267

Phone: 2604031093

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.