Individual provider Active NPI

Amanda Jo Keffer

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1346864105
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP022136 Issued in PA
Practice address
600 Rugh St
Greensburg, PA 15601-5630
Phone
(412) 322-2129
NPI assigned
Jun 7, 2020
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP022136 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71441 ID
Psychiatric/Mental Health Registered Nurse 163WP0808X 71441 ID
Psychiatric/Mental Health Registered Nurse 163WP0808X RN657003 PA

Addresses

Primary practice location

600 Rugh St
Greensburg, PA 15601-5630

Mailing address

3000 Park Place Dr Ste 108
Washington, PA 15301-2068
Phone (724) 300-8028

Other practice location 1

9488 W Fairview Ave
Boise, ID 83704
Phone (208) 322-2928

Other names 1

  • Amanda Jo Keffer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ID2 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
I20201009000485 PA Practitioner - Nurse Practitioner 6103246350 Reassigns benefits to 1 organization
I20220624000878 ID Practitioner - Nurse Practitioner 6103246350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling and Wellness Center of PittsburghGroup PAC ID 7214460724, 11 clinicians

Practice addresses (Care Compare)

600 Rugh St
Suite 150
Greensburg, PA 15601-5630
Phone (412) 322-2129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN657003PAMDPsychiatric/Mental Health Registered Nurse
SP022136PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pride Mental Health Psychiatric/Mental Health CurrentSince Sep 15, 2024 Accepting new patients
Counseling and Wellness Center of Pittsburgh CurrentSince Jan 1, 2025 Accepting new patients
GR&W, Inc PastSince Nov 18, 2025 Accepting new patients

Locations

9488 W Fairview Ave
Boise, ID 83704
Phone (208) 322-2928

600 Rugh St
Greensburg, PA 15601
Phone (724) 837-2112

600 Rugh St
Ste 150
Greensburg, PA 15601
Phone (412) 322-2129

830 Western Ave
Pittsburgh, PA 15233
Phone (412) 322-2129

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.

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1346864105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PARK PLACE DR STE 108",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012068",
            "telephone_number": "724-300-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RUGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015630",
            "telephone_number": "412-322-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9488 W Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83704",
            "country_code": "US",
            "telephone_number": "208-322-2928",
            "fax_number": "208-322-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEFFER",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022136",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "71441",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "ID",
            "license": "71441",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN657003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KEFFER",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.