Individual provider Active NPI

Amanda C Rossman, CRNA

  • Certified Registered Nurse Anesthetist
  • Gettysburg, PA
National Provider Identifier
1295173276
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN613354 Issued in PA
Practice address
147 Gettys St
Gettysburg, PA 17325-2534
Phone
(717) 337-4168
Fax
(717) 337-4318
NPI assigned
Jun 12, 2013
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN613354 PA Primary

Addresses

Primary practice location

147 Gettys St
Gettysburg, PA 17325-2534

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 337-4168

Other practice location 1

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 646-4204

Other practice location 2

236 West St
Gettysburg, PA 17325-2509
Phone (717) 338-4500

Other identifiers 3

IdentifierTypeStateIssuer
102828301MedicaidPA
2893649OtherPAHIGHMARK BLUE SHIELD
1622615OtherPAGATEWAY MEDICARE ASSURED

Other names 1

  • Amanda Staub Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130727000013 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325289705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Gettysburg HospitalGroup PAC ID 2769373331, 66 clinicians

Practice addresses (Care Compare)

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 851-1405

236 W St
Gettysburg, PA 17325-2509
Phone (717) 851-1405

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN613354PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Gettysburg Hospital CurrentSince Jul 8, 2013 Accepting new patients
The Gettysburg Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2013 Accepting new patients

Locations

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

147 Gettys St
#3786
Gettysburg, PA 17325
Phone (717) 334-4216

236 West St
Gettysburg, PA 17325
Phone (717) 338-4500

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

Organizations & group practices 2

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 2

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1295173276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-337-4168",
            "fax_number": "717-337-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GETTYS ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252534",
            "telephone_number": "717-337-4168",
            "fax_number": "717-337-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-646-4204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 West St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252509",
            "country_code": "US",
            "telephone_number": "717-338-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN613354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102828301",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2893649",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY MEDICARE ASSURED",
            "identifier": "1622615",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STAUB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.