Individual provider Active NPI

Amy Miskiewicz, CRNP

  • Adult Health Nurse Practitioner
  • Schwenksville, PA
National Provider Identifier
1265013429
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP023256 Issued in PA
Practice address
102 Memorial Dr
Schwenksville, PA 19473-1753
Phone
(610) 287-8129
NPI assigned
Apr 19, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP023256 PA Primary

Addresses

Primary practice location

102 Memorial Dr
Schwenksville, PA 19473-1753

Mailing address

102 Memorial Dr
Schwenksville, PA 19473-1753
Phone (610) 287-8129

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210616000243 PA Practitioner - Nurse Practitioner 4183024953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn Medicine-PmaGroup PAC ID 6507269370, 55 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

102 Memorial Dr
Schwenksville, PA 19473-1753
Phone (610) 287-8129

150 Monument Rd
Suite 400
Bala Cynwyd, PA 19004-1725
Phone (610) 747-3470

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Medicine-Pma CurrentSince Jan 20, 2022 Accepting new patients
Penn Medicine-Pma Current Accepting new patients
Penn Medicine-Pma CurrentSince Jan 20, 2022 Accepting new patients

Locations

150 Monument Rd
Ste 400
Bala Cynwyd, PA 19004
Phone (610) 747-3470

826 Main St
Ste 100
Phoenixville, PA 19460
Phone (610) 933-8000

102 Memorial Dr
Schwenksville, PA 19473
Phone (610) 287-8129

Interoperability endpoints

  • FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

Organizations & group practices 3

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 6

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1265013429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEMORIAL DR",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194731753",
            "telephone_number": "610-287-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEMORIAL DR",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194731753",
            "telephone_number": "610-287-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKIEWICZ",
        "first_name": "AMY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP023256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schwenksville, PA

Sources for this page

Verify at the official NPI Registry.