Individual provider Active NPI

Amy Knickerbocker

  • Family Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1194209031
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343598 Issued in NY
Practice address
1001 Reed Ave Ste 402
Wyomissing, PA 19610-2030
Phone
(484) 628-4270
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP028977 PA
Family Nurse Practitioner 363LF0000X 343598 NY Primary

Addresses

Primary practice location

1001 Reed Ave Ste 402
Wyomissing, PA 19610-2030

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

Other practice location 1

33 Wilbur Blvd
Poughkeepsie, NY 12603-3407
Phone (845) 518-5225

Other practice location 2

33 Wilbur Blvd
Poughkeepsie, NY 12603-3407
Phone (845) 518-5225

Other practice location 3

224 Alexander St Ste 220
Rochester, NY 14607
Phone (585) 922-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190218001223 NY Practitioner - Nurse Practitioner 8527306505 Reassigns benefits to 1 organization
I20240126003224 PA Practitioner - Nurse Practitioner 8527306505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading HospitalGroup PAC ID 7618886490, 179 clinicians

Practice addresses (Care Compare)

1001 Reed Ave
Suite 402
Wyomissing, PA 19610-2030
Phone (484) 628-4270

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reading Hospital Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Mar 1, 2019 Accepting new patients
Gateway Medical Specialists, LLC CurrentSince Oct 1, 2024 Accepting new patients
Manos Family Practice PC CurrentSince Feb 1, 2024 Accepting new patients
Reading Hospital CurrentSince Sep 20, 2025 Accepting new patients
Reading Hospital CurrentSince Sep 20, 2025 Accepting new patients
Reading Professional Services Past Accepting new patients
Pentahealth, LLC PastSince Feb 1, 2024 Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

915 Old Fern Hill Rd
Ste 500
West Chester, PA 19380
Phone (610) 235-4100

795 E Marshall St
Ste G2
West Chester, PA 19380
Phone (610) 431-2971

915 Old Fern Hill Rd
Bldg D
West Chester, PA 19380
Phone (610) 235-4100

915 Old Fern Hill Rd
Ste D500
West Chester, PA 19380
Phone (610) 692-7025

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

1001 Reed Ave
Ste 402
Wyomissing, PA 19610
Phone (484) 628-4270

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFHIBD

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1194209031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 REED AVE STE 402",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102030",
            "telephone_number": "484-628-4270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Wilbur Blvd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126033407",
            "country_code": "US",
            "telephone_number": "845-518-5225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Wilbur Blvd",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126033407",
            "country_code": "US",
            "telephone_number": "845-518-5225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Alexander St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14607",
            "country_code": "US",
            "telephone_number": "585-922-8400",
            "fax_number": "585-922-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNICKERBOCKER",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP028977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.