Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda J Chapman, MSN-NP

Individual provider Family Nurse Practitioner · NPI 1659960979

Amanda J Chapman, MSN-NP is a Nurse Practitioner in Mount Vernon, Missouri. Qualified in 2020, 6 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
Specialties on file
2

Practice location Address checks out

108 S Hickory St
Mount Vernon, MO 65712-1407
Phone: (417) 466-4110
Fax: (417) 466-4255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2021008231 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2011021027 (MO)

Record details

NPI number1659960979
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN-NP
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sgoh Acquisition Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon