Individual provider Active NPI

Amanda Abigail Gaziano, NP

  • Acute Care Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1346871506
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP022257 Issued in PA
Practice address
2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone
(717) 544-3968
Fax
(717) 544-9401
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 153511 CT
Registered Nurse 163W00000X RN725614 PA
Acute Care Nurse Practitioner 363LA2100X SP022257 PA Primary

Addresses

Primary practice location

2102 Harrisburg Pike
Lancaster, PA 17601-2644

Mailing address

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3968

Other names 1

  • Amanda Lynn Former name

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
I20240222004369 PA Practitioner - Nurse Practitioner 5193169647 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
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2102 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3968

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153511CTMDRegistered Nurse
RN725614PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group CurrentSince Feb 19, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Feb 19, 2024 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

554 N Duke St
Lancaster, PA 17602
Phone (717) 291-5863

2102 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3600

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2108 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 290-3900

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1346871506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3968",
            "fax_number": "717-544-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3968",
            "fax_number": "717-544-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZIANO",
        "first_name": "AMANDA",
        "middle_name": "ABIGAIL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "153511",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN725614",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP022257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.