Active NPI
Amanda McNicholas, C.R.N.P.
- Nurse Practitioner
- Reading, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP008236
- Practice address
- 420 S 5TH Ave
Reading, PA 19611-2143 - Phone
- (484) 628-4879
- NPI assigned
- Nov 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP008236 | PA | Primary |
Addresses
Primary practice location
420 S 5TH Ave
Reading, PA 19611-2143
Mailing address
PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-0799
Other practice location 1
6th Avenue & Spruce Street
West Reading, PA 19611
Phone (610) 988-8446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101428038 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950
420 S 5TH Ave
West Reading, PA 19611-2143
Hospital & facility affiliations
- Reading Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.71 of 100
- Quality
- 73.34
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Nurse Practitioner | Current | Accepting new patients |
| West Grove Clinic Company LLC | Current | Accepting new patients | |
| Chestnut Hill Clinic Company, LLC | Current | Accepting new patients | |
| Pottstown Clinic Company LLC | Nurse Practitioner | Current | Accepting new patients |
| Chestnut Hill Clinic Company, LLC | Current | Accepting new patients | |
| Chestnut Hill Clinic Company, LLC | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| West Grove Clinic Company LLC | Current | Accepting new patients |
Locations
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285
1011 W Baltimore Pike
Ste 307
West Grove, PA 19390
Phone (610) 869-1240
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269
206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437
8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Interoperability endpoints
- https://api.platform.athenahealth.com/1267/brand/2/csg/121/fhir/r4
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1508936071
-
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
Nurse Practitioner
-
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
Nurse Practitioner
-
- Radiation Oncology Physician
- West Reading, PA
- NPI 1992387518
-
- Family Medicine Physician
- West Grove, PA
- NPI 1790856078
-
- Neurology Physician
- Philadelphia, PA
- NPI 1285274969
-
- Sports Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1811611692
-
- Vascular Surgery Physician
- Limerick, PA
- NPI 1790746345
-
- Family Medicine Physician
- Reading, PA
- NPI 1386702413
-
- Community/Retail Pharmacy
- Limerick, PA
- NPI 1487468914
-
- Emergency Medicine Physician
- West Reading, PA
- NPI 1740342278
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1467007112
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1669530069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1104993443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13579",
"city": "READING",
"state": "PA",
"postal_code": "196123579",
"telephone_number": "484-628-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S 5TH AVE",
"city": "READING",
"state": "PA",
"postal_code": "196112143",
"telephone_number": "484-628-4879"
}
],
"practiceLocations": [
{
"address_1": "6th Avenue & Spruce Street",
"address_purpose": "LOCATION",
"city": "West Reading",
"state": "PA",
"postal_code": "19611",
"country_code": "US",
"telephone_number": "610-988-8446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNICHOLAS",
"first_name": "AMANDA",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP008236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101428038",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.