Active NPI
Amy Lynne Ishak, APRN
- Family Nurse Practitioner
- Summit, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00162600
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - Phone
- (908) 522-5310
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00162600 | NJ | Primary |
| Nurse Practitioner | 363L00000X | AP10858 | CA | |
| Family Nurse Practitioner | 363LF0000X | AP70011590 | WA |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Mailing address
3403 Balsam Way
Basking Ridge, NJ 07920-3157
Other practice location 1
4205 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 782-7780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CO, CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1235 W Vine St
Suite 20
Lodi, CA 95240-5144
Phone (209) 334-3411
4205 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 782-7780
5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 465-0711
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10858 | CA | MD | Nurse Practitioner |
| 26NJ00162600 | NJ | MD | Family Nurse Practitioner |
| AP70011590 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Physicians of Northern California Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Nurse Practitioner | Current | Accepting new patients |
| Team Physicians of Southern California Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Quality Urgent Care Professional Corporation | Current | Accepting new patients | |
| Quality Urgent Care Professional Corporation | Current | Accepting new patients | |
| Team Physicians of California Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Clinic Services of California Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| 303 Emergency Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients | |
| Quality Urgent Care Professional Corporation | Past | Accepting new patients | |
| Atlantic Professional Services of New Jersey, P.a. | Nurse Practitioner | Past | Accepting new patients |
| Quality Urgent Care Professional Corporation | Past | Accepting new patients | |
| San Francisco Physicians International Medical Group, Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
8851 Center Dr
Ste 600
La Mesa, CA 91942
Phone (619) 589-0785
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
1335 E South Boulder Rd
Ste C
Louisville, CO 80027
Phone (720) 961-9700
4205 Kitsap Way
Bremerton, WA 98312
Phone (360) 782-7780
450 S Kitsap Blvd
Ste 100
Port Orchard, WA 98366
Phone (360) 744-6275
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- aishak916903@fhsce.catholichealth.net
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lodi, CA
- NPI 1578958450
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1447288345
Nurse Practitioner
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
Nurse Practitioner
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1518398585
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Louisville, CO
- NPI 1497227060
-
- Emergency Medicine Physician
- Bremerton, WA
- NPI 1316756067
Nurse Practitioner
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Urgent Care Clinic/Center
- Longmont, CO
- NPI 1891483442
-
- Emergency Medicine Physician
- Oceanside, CA
- NPI 1225499015
Nurse Practitioner
-
- Physician Assistant
- Stratford, NJ
- NPI 1932145182
Nurse Practitioner
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1043473903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 BALSAM WAY",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079203157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013533",
"telephone_number": "908-522-5310"
}
],
"practiceLocations": [
{
"address_1": "4205 Kitsap Way",
"address_purpose": "LOCATION",
"city": "Bremerton",
"state": "WA",
"postal_code": "983122447",
"country_code": "US",
"telephone_number": "360-782-7780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISHAK",
"first_name": "AMY",
"middle_name": "LYNNE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00162600",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "AP10858",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP70011590",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.