Amanda Maria Kwiatkowski, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP031128 Issued in PA

Practice address

3401 N Broad St
Philadelphia, PA 19140-5189

Phone

(215) 514-8101

NPI assigned

Nov 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Maria O'Shea Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Drexel University College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Via AffiliatesGroup PAC ID 1759295512, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Via Affiliates

  dba Doylestown Health Vascular Surgery

  • Vascular Surgery Physician
  • Doylestown, PA
  • NPI 1003446261
  Medicare reassignment Care Compare group NPD
• Via Affiliates

  • Psychologist
  • Warrington, PA
  • NPI 1588489272
  NPD
• Via Affiliates

  dba Doylestown Health Urgent Care

  • Urgent Care Clinic/Center
  • Doylestown, PA
  • NPI 1700314853
  NPD (past)
• Via Affiliates

  • Internal Medicine Physician
  • Doylestown, PA
  • NPI 1902913338
  NPD (past)

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1205659935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 JACOB STOUT RD UNIT 15",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189029708",
            "telephone_number": "215-514-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405189",
            "telephone_number": "215-514-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKI",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "O'SHEA",
            "middle_name": "MARIA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delali Kevin Kwamin, MD
• Justin Yuan-Ping Kwan, M.D.
• Mei W Kwan, M.D.
• Stephanie Kwan, DO
• Samantha Kwasniuk, LPC
• Janet L Kwiatkowski, M.D.
• Jenna Rose Kwiecinski, MD
• Jennifer A Kwiecinski, OTR/L
• Christopher Kwock, PHARMD
• Ellius Jun Jie Kwok, MD

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.