Amanda Lynn Murgenovich, DNP WCC AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP012941 Issued in PA

Practice address

149 McCracken Dr
Monaca, PA 15061-2763

Phone

(412) 925-1622

NPI assigned

Aug 20, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1013340462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MCCRACKEN DR",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612763",
            "telephone_number": "412-925-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MCCRACKEN DR",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612763",
            "telephone_number": "412-925-1622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Scharberry Ln",
            "address_purpose": "LOCATION",
            "city": "Mars",
            "state": "PA",
            "postal_code": "160462430",
            "country_code": "US",
            "telephone_number": "800-355-8894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURGENOVICH",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP WCC AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP012941",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Michael Jr., DDS
• Lindsay Ann Mink, M.S., CCC-SLP
• Monaca School District
• Janessa Lynn Morris, CRNP
• Mother Teresa Hospice, Inc.
• Gerard Anthony Myers, DO
• Cinzia Vecchia Newman, D.P.M.
• Robert Martin Niedermeyer Jr., PHARM D
• Shanna Oliver, DNP, CRNP, FNP-BC
• Open MRI of Beaver Valley, LTD

• Adult Health Nurse Practitioner in Monaca, PA
• Providers in Monaca, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.