Individual provider Active NPI

Andrew Lam, CRNP

  • Nurse Practitioner
  • Kutztown, PA
National Provider Identifier
1013621275
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP026945 Issued in PA
Practice address
15065 Kutztown Rd
Kutztown, PA 19530-9276
Phone
(484) 822-8001
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP026945 PA Primary

Addresses

Primary practice location

15065 Kutztown Rd
Kutztown, PA 19530-9276

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816003273 PA Practitioner - Nurse Practitioner 7315928033 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke's HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke's Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

111 Route 715
Brodheadsville, PA 18322-7101
Phone (272) 212-0420

15065 Kutztown Rd
Kutztown, PA 19530-9276
Phone (484) 822-8001

153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone (484) 526-3218

174 Harvest LN
Pocono Summit, PA 18346-7761
Phone (484) 526-4000

2003 Sullivan TRL
Easton, PA 18040-8339
Phone (484) 503-6470

2402 Macarthur Rd
Whitehall, PA 18052-3810
Phone (484) 426-2026

2701 Shillington Rd
Suite 100
Reading, PA 19608-1732
Phone (484) 822-6170

360 W Riddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

60 Cherry St
Suite 210
Leesport, PA 19533-8503
Phone (484) 526-4000

614 Delaware Ave
St. Luke's Care Now Palmerton
Palmerton, PA 18071-2003
Phone (484) 822-5320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP026945PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Jun 28, 2023 Accepting new patients
Carbon - Schuylkill Community Hospital Inc CurrentSince Jun 28, 2023 Accepting new patients
GSL Hospital CurrentSince Jun 28, 2023 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
St. Luke's Quakertown Hospital Current Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jun 28, 2023 Accepting new patients
St Luke's Hospital CurrentSince Jun 28, 2023 Accepting new patients
St. Luke's Hosptial CurrentSince Jun 28, 2023 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Jun 28, 2023 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Jun 28, 2023 Accepting new patients
St. Luke's Hospital Monroe Campus Current Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jun 28, 2023 Accepting new patients
St. Luke's Hospital Current Accepting new patients
St Luke's Hospital CurrentSince Jun 28, 2023 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Jun 28, 2023 Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

15065 Kutztown Rd
Kutztown, PA 19530
Phone (484) 822-8001

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: andrew.lam@slpg.direct-sluhn.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1013621275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15065 KUTZTOWN RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309276",
            "telephone_number": "484-822-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANDREW",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP026945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

Sources for this page

Verify at the official NPI Registry.