Individual provider Active NPI

Nicole M Nye, CRNP

  • Acute Care Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1144573544
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP012437 Issued in PA
Practice address
1521 8TH Ave
Suite 201
Bethlehem, PA 18018-1893
Phone
(610) 882-2598
Fax
(610) 882-4443
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP012437 PA Primary

Addresses

Primary practice location

1521 8TH Ave
Suite 201
Bethlehem, PA 18018-1893

Mailing address

1521 8TH Ave
Suite 201
Bethlehem, PA 18018-1893
Phone (610) 882-2598

Other names 1

  • Nicole M Amoroso Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121116000313 PA Practitioner - Nurse Practitioner 5799936985 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 2, 2014 Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Sep 2, 2014 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105

1521 8th Ave
Ste 201
Bethlehem, PA 18018
Phone (610) 882-2598

2200 St Lukes Blvd
Ste 230
Easton, PA 18045
Phone (484) 503-2500

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1021 Park Ave
Ste 202
Quakertown, PA 18951
Phone (215) 536-3996

143 N Railroad St
Tamaqua, PA 18252
Phone (570) 645-1540

Interoperability endpoints

  • Direct secure messaging: nicole.nye@slpg.direct-sluhn.org

Organizations & group practices 4

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1144573544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 8TH AVE",
            "address_2": "SUITE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181893",
            "telephone_number": "610-882-2598",
            "fax_number": "610-882-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 8TH AVE",
            "address_2": "SUITE 201",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180181893",
            "telephone_number": "610-882-2598",
            "fax_number": "610-882-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP012437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "AMOROSO",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.