Individual provider Active NPI

Amanda Lee Lingenfelter, CRNA

  • Certified Registered Nurse Anesthetist
  • Youngstown, OH
National Provider Identifier
1063717171
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.12148-NA Issued in OH
Practice address
3622 Belmont Ave
Suite 1
Youngstown, OH 44505-1450
Phone
(330) 759-9350
Fax
(330) 759-9387
NPI assigned
Jan 20, 2011
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X COA.12148-NA OH Primary

Addresses

Primary practice location

3622 Belmont Ave
Suite 1
Youngstown, OH 44505-1450

Mailing address

4665 Douglas Cir NW Ste 100
Canton, OH 44718-3673
Phone (330) 499-5700

Other identifiers 1

IdentifierTypeStateIssuer
3132925MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000328 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183805534 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
COA.12148-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Anesthesia Partners Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Anesthesia Care of Union Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Anesthesia & Intensive Care Consultants,Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Jun 18, 2013 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Jan 1, 2013 Accepting new patients
Bel-Park Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2012 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Jun 18, 2013 Accepting new patients
Warren Otologic Group, Inc CurrentSince Jul 3, 2023 Accepting new patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Keystone Anesthesia Consultants, LTD CurrentSince Sep 1, 2022 Accepting new patients
Trans-Ohio Anesthesia, LLC CurrentSince Nov 20, 2013 Accepting new patients
Advanced Anesthesia Associates,Inc Past Accepting new patients
Barrett Pain Associates, Inc PastSince Sep 1, 2007 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

4665 Douglas Cir NW
Ste 100
Canton, OH 44718
Phone (330) 499-5700

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

2580 Elm Rd NE
Bldg A
Cortland, OH 44410
Phone (330) 841-1011

844 Boulevard St
Dover, OH 44622
Phone (330) 473-6615

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

3893 E Market St
Warren, OH 44484
Phone (330) 856-4000

9225 E Market St
Warren, OH 44484
Phone (330) 372-7470

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100

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": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1063717171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 DOUGLAS CIR NW STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183673",
            "telephone_number": "330-499-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 BELMONT AVE",
            "address_2": "SUITE 1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051450",
            "telephone_number": "330-759-9350",
            "fax_number": "330-759-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGENFELTER",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.12148-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.