Individual provider Active NPI

Amanda Michelle Lipsky, MSN, APRN, NP-C, CPN

  • Family Nurse Practitioner
  • Miamisburg, OH
National Provider Identifier
1194332791
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027580 Issued in OH
Practice address
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone
(937) 641-5725
Fax
(937) 350-3050
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027580 OH Primary

Addresses

Primary practice location

3333 W Tech Rd
Miamisburg, OH 45342-0955

Mailing address

PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-5072

Other practice location 1

792 Northwoods Blvd
Vandalia, OH 45377-9462
Phone (937) 641-4236

Other practice location 2

3301 Dayton Xenia Rd Ste 200
Beavercreek, OH 45432-2759
Phone (937) 641-5098

Other practice location 3

1711 Germantown Pike
Dayton, OH 45417
Phone (937) 641-3142

Other practice location 4

4475 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 641-3141

Other practice location 5

662 N Main St
Springboro, OH 45066-9553
Phone (937) 641-5066

Other practice location 6

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3600

Other practice location 7

6044 Wilmington Pike
Dayton, OH 45459-7006
Phone (937) 641-3270

Other practice location 8

7787 Cox Ln
West Chester, OH 45069-6549
Phone (513) 644-8081

Other practice location 9

8501 Old Troy Pike
Huber Heights, OH 45424-1054
Phone (937) 641-4360

Other identifiers 1

IdentifierTypeStateIssuer
0426022MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL www.childrensdayton.org
Direct Messaging Address alipsky573451@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201211000282 OH Practitioner - Nurse Practitioner 6901218171 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince May 1, 2022 Accepting new patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince May 1, 2022 Accepting new patients
Dayton Children'S Hospital CurrentSince May 1, 2022 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Nov 4, 2021 Accepting new patients
Dayton Children'S Hospital Past Accepting new patients

Locations

3301 Dayton Xenia Rd
Ste 200
Beavercreek, OH 45432
Phone (937) 641-5098

1095 S Main St
Centerville, OH 45458
Phone (937) 439-6420

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

1711 Germantown St
Dayton, OH 45417
Phone (937) 641-3142

6044 Wilmington Pike
Dayton, OH 45459
Phone (937) 641-3270

8501 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 233-1095

4475 Far Hills Ave
Kettering, OH 45429
Phone (937) 641-3141

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

8809 Wilkens Blvd
Mason, OH 45040
Phone (513) 701-6907

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

662 N Main St
Springboro, OH 45066
Phone (937) 641-5066

792 Northwoods Blvd
Vandalia, OH 45377
Phone (937) 641-4236

7787 Cox Ln
West Chester, OH 45069
Phone (513) 644-8081

Interoperability endpoints

  • Direct secure messaging: amanda.lipsky@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 5

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1194332791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933421",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-5072",
            "fax_number": "937-641-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W TECH RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453420955",
            "telephone_number": "937-641-5725",
            "fax_number": "937-350-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "792 Northwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Vandalia",
            "state": "OH",
            "postal_code": "453779462",
            "country_code": "US",
            "telephone_number": "937-641-4236",
            "fax_number": "937-641-4237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Dayton Xenia Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454322759",
            "country_code": "US",
            "telephone_number": "937-641-5098",
            "fax_number": "937-912-9395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45417",
            "country_code": "US",
            "telephone_number": "937-641-3142",
            "fax_number": "937-641-4172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4475 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454292405",
            "country_code": "US",
            "telephone_number": "937-641-3141",
            "fax_number": "937-641-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "662 N Main St",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450669553",
            "country_code": "US",
            "telephone_number": "937-641-5066",
            "fax_number": "937-550-9797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-3600",
            "fax_number": "937-641-5802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6044 Wilmington Pike",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454597006",
            "country_code": "US",
            "telephone_number": "937-641-3270",
            "fax_number": "937-641-6108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7787 Cox Ln",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450696549",
            "country_code": "US",
            "telephone_number": "513-644-8081",
            "fax_number": "513-847-1192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Old Troy Pike",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241054",
            "country_code": "US",
            "telephone_number": "937-641-4360",
            "fax_number": "937-949-3791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSKY",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, NP-C, CPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426022",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.childrensdayton.org",
            "affiliation": "N",
            "address_1": "3333 W Tech Rd",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453420955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alipsky573451@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7740 Washington Village Dr Ste 110",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7740 Washington Village Dr Ste 110",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.