Individual provider Active NPI

Amanda Marie Farina, MSN, FNP-BC

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1174968226
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000654 Issued in DE
Practice address
4735 Ogletown Stanton Rd
Medical Arts Pavilion 2, Suite 3302
Newark, DE 19713-2072
Phone
(302) 623-4144
Fax
(302) 623-4147
NPI assigned
May 2, 2013
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000654 DE Primary
Family Nurse Practitioner 363LF0000X SP012824 PA

Addresses

Primary practice location

4735 Ogletown Stanton Rd
Medical Arts Pavilion 2, Suite 3302
Newark, DE 19713-2072

Mailing address

4735 Ogletown Stanton Rd
Medical Arts Pavilion 2, Suite 3302
Newark, DE 19713-2072
Phone (302) 623-4144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20140318000196 DE Practitioner - Nurse Practitioner 0648401547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Spine Center PAGroup PAC ID 6305862848, 14 clinicians

Practice addresses (Care Compare)

4735 Ogletown Stanton Rd
Suite 3302
Newark, DE 19713-2094
Phone (302) 602-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
95.48
Improvement activities
40
Cost
67.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012824PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Spine Center PA CurrentSince Dec 16, 2013 Accepting new patients
Christiana Spine Center PA CurrentSince Dec 16, 2013 Accepting new patients

Locations

1101 Twin C Ln
Ste 202
Newark, DE 19713
Phone (302) 636-1164

4735 Ogletown Stanton Rd
Ste 3302
Newark, DE 19713
Phone (302) 602-7000

Interoperability endpoints

  • Direct secure messaging: amanda.farina@cscpa.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGGAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1174968226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "MEDICAL ARTS PAVILION 2, SUITE 3302",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-623-4144",
            "fax_number": "302-623-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "MEDICAL ARTS PAVILION 2, SUITE 3302",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-623-4144",
            "fax_number": "302-623-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINA",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000654",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012824",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.