Individual provider Active NPI

Amy Lynne Ishak, APRN

  • Family Nurse Practitioner
  • Summit, NJ
National Provider Identifier
1043473903
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00162600 Issued in NJ
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

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180228002742 AZ Practitioner - Nurse Practitioner 1052485190 Reassigns benefits to 1 organization
I20191127000318 CO Practitioner - Nurse Practitioner 1052485190 Reassigns benefits to 1 organization
I20241016002085 CA Practitioner - Nurse Practitioner 1052485190 Reassigns benefits to 3 organizations
I20251028004099 WA Practitioner - Nurse Practitioner 1052485190 Reassigns benefits to 1 organization

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
Clinic Services of California Medical Group IncGroup PAC ID 7810209715, 65 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Team Physicians of Northern California Medical Group IncGroup PAC ID 7113215146, 84 clinicians
Team Physicians of California Medical Group IncGroup PAC ID 8224945084, 92 clinicians

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

LicenseStateTypeSpecialty
AP10858CAMDNurse Practitioner
26NJ00162600NJMDFamily Nurse Practitioner
AP70011590WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Team Physicians of Northern California Medical Group Inc Nurse Practitioner CurrentSince Nov 19, 2024 Accepting new patients
Franciscan Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Franciscan Medical Group Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Team Physicians of Southern California Medical Group, Inc. Nurse Practitioner Current Accepting new patients
Quality Urgent Care Professional Corporation CurrentSince Aug 1, 2020 Accepting new patients
Quality Urgent Care Professional Corporation CurrentSince Aug 1, 2020 Accepting new patients
Team Physicians of California Medical Group Inc Nurse Practitioner CurrentSince Nov 19, 2024 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Clinic Services of California Medical Group Inc Nurse Practitioner CurrentSince Nov 19, 2024 Accepting new patients
303 Emergency Physicians PLLC Nurse Practitioner CurrentSince Aug 21, 2020 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

  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.