Amy M. Barksdale, CRNP
Individual provider Active NPI Acute Care Nurse Practitioner · Bryn Mawr, PA
NPI 1194155192 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1194155192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- SP013423 (PA)
- Practice address
- 130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121 - Phone
- (610) 368-7877
- Fax
- (610) 642-3057
- NPI assigned
- Nov 13, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251110003209 | PA | Order and Referring Only - Nurse Practitioner | 6709015027 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP013423 | PA | Yes |
Addresses
Primary practice location
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Mailing address
333 Edgehill Rd
Wayne, PA 19087-4716
Phone (603) 321-9712
Other providers in Bryn Mawr, PA
- Bancroft Neurohealth
- Colleen Baratka
- Brian Douglas Barber
- Sara Barber
- Jeffrey Todd Barg
- Rachel Lauren Barnet
- Joshua M. Baron
- Laurie Bass
- Saunders Batunkyi
- Melissa Hannon Baumholtz
All providers in Bryn Mawr, PA · Acute Care Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.