Individual provider Active NPI

Amanda Caylor, CRNP

  • Family Nurse Practitioner
  • Punxsutawney, PA
National Provider Identifier
1134962012
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029831 Issued in PA
Practice address
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone
(814) 938-1800
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 SP029831 PA Primary

Addresses

Primary practice location

81 Hillcrest Dr
Punxsutawney, PA 15767-2605

Mailing address

306 Timblin Rd
Mayport, PA 16240-6624
Phone (724) 664-7655

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828002516 PA Practitioner - Nurse Practitioner 4880133362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Punxsutawney Area Hospital IncGroup PAC ID 3375517147, 33 clinicians

Practice addresses (Care Compare)

81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-7066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP029831PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Punxsutawney Area Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Punxsutawney Area Hospital Inc Family CurrentSince Sep 1, 2024 Accepting new patients
Indiana Healthcare Physician Services Inc Past Accepting new patients

Locations

81 Hillcrest Dr
Ste 200
Punxsutawney, PA 15767

81 Hillcrest Dr
Ste 106
Punxsutawney, PA 15767
Phone (814) 938-2064

81 Hillcrest Dr
Ste 100
Punxsutawney, PA 15767
Phone (814) 938-7045

81 Hillcrest Dr
Ste 2200
Punxsutawney, PA 15767
Phone (814) 938-1451

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1134962012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 TIMBLIN RD",
            "city": "MAYPORT",
            "state": "PA",
            "postal_code": "162406624",
            "telephone_number": "724-664-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYLOR",
        "first_name": "AMANDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.