Physician Compare National (NPI:1881117869)

HEALTHCARE PROVIDER: AMY TORNIO PSYCHIATRIC NP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881117869
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224300140
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170828000241
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TORNIO
	Individual professional last name
Provider First Name	AMY
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HIAWATHA VALLEY MENTAL HEALTH CENTER INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7113026998
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2835 S SERVICE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	RED WING
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	550661835
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6513272270
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	240018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAYO CLINIC HEALTH SYSTEM IN RED WING
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	241335
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ELIZABETH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	240044
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WINONA HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y