Individual provider Active NPI

Caryn Lynn Amedee, MS, CRNP, FNP-C

  • Family Nurse Practitioner
  • Frostburg, MD
National Provider Identifier
1104476274
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R240019 Issued in MD
Practice address
133 E Main St
Frostburg, MD 21532-1336
Phone
(240) 284-2238
Fax
(240) 284-2852
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R240019 MD Primary

Addresses

Primary practice location

133 E Main St
Frostburg, MD 21532-1336

Mailing address

133 E Main St
Frostburg, MD 21532-1336
Phone (240) 284-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20191125001370 MD Practitioner - Nurse Practitioner 7416380803 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R240019MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sandstone Primary Care, L.L.C. CurrentSince Aug 18, 2021 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Mar 24, 2025 Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Garrett Spine Nerve & Pain Center CurrentSince Jul 1, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

12501 Willowbrook Rd
Fl 3
Cumberland, MD 21502
Phone (240) 964-8515

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

133 E Main St
Frostburg, MD 21532
Phone (240) 284-2238

90 Main St
Westernport, MD 21562
Phone (301) 359-5145

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGECD/Endpoint/AAGECD

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Western Maryland Health Services LLC 162 clinicians
Garrett Spine Nerve and Pain Center 2 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-6000

133 E Main St
Frostburg, MD 21532-1336
Phone (240) 284-2238

90 Main St
Westernport, MD 21562-1437
Phone (301) 616-2550

Hospital & facility affiliations

  • Upmc Western Maryland Home health agency, Cumberland, MD, CCN 217031
  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027
  • Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1104476274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321336",
            "telephone_number": "240-284-2238",
            "fax_number": "240-284-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321336",
            "telephone_number": "240-284-2238",
            "fax_number": "240-284-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEDEE",
        "first_name": "CARYN",
        "middle_name": "LYNN",
        "credential": "MS, CRNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R240019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

Verify at the official NPI Registry.