Amanda Berkebile Wainwright, NP- C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0000780 Issued in DE

Practice address

32427 Lighthouse Rd
Selbyville, DE 19975-3408

Phone

(443) 424-6131

Fax

(302) 616-0003

NPI assigned

Aug 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amandawainwright@agh.allscriptsdirect.net
• Direct secure messaging: amanda.wainwright@64380864233476.direct.elationemr.com

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1174923015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32427 LIGHTHOUSE RD",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753408",
            "telephone_number": "443-424-6131",
            "fax_number": "302-616-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32427 LIGHTHOUSE RD",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199753408",
            "telephone_number": "443-424-6131",
            "fax_number": "302-616-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Atlantic Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Ocean View",
            "state": "DE",
            "postal_code": "199709103",
            "country_code": "US",
            "telephone_number": "130-541-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "AMANDA",
        "middle_name": "BERKEBILE",
        "name_prefix": "Mrs.",
        "credential": "NP- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LG-0000780",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R181844",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gisselle Tretina
• Lorraine Tyler
• Elyse K Vesely, PHARMD
• Olivia Wagner
• Wainwright Direct Primary Care LLC (Amanda Wainwright, CRNP)
• Walgreen Co (Walgreens # 11136)
• Well BL Opco LLC (Brandywine Living at Fenwick Island)
• Jacqueline Whiteley, LCPC
• Andrea Whittington, COTA/L
• Shelley Wilgus

• Family Nurse Practitioner in Selbyville, DE
• Providers in Selbyville, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.