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

Nathan Clarence Amayun

Individual provider Family Nurse Practitioner · NPI 1235993478

Nathan Clarence Amayun is a Nurse Practitioner in Kokomo, Indiana. Qualified in 2022, 4 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

188 E Southway Blvd
Kokomo, IN 46902-3650
Phone: (765) 453-9000
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 71015044A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28231543A (IN)

Record details

NPI number1235993478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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