MEDICARE: AMY MICHELLE ROGERS MSN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	167431	NC
2	363LF0000X	Family Nurse Practitioner	5015047	NC

General Provider Information

NPI Number	:	1275605891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MICHELLE ROGERS MSN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 1267
Second Line	:
City	:	MONTREAT
State	:	NC
Zip	:	28757-0016
Country	:	US
Telephone Number	:	828-707-5373
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 GAITHER CIRCLE
Second Line	:
City	:	MONTREAT
State	:	NC
Zip	:	28757
Country	:	US
Telephone Number	:	828-707-5373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/01/2025

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