Individual provider Active NPI

Amy Nicole Gunnells, DO

  • Emergency Medicine Physician
  • Ephrata, PA
National Provider Identifier
1356963631
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP616831328 Issued in WA
Practice address
169 Martin Ave
Ephrata, PA 17522-1734
Phone
(717) 738-6420
NPI assigned
May 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OP616831328 WA Primary
Emergency Medicine Physician 207P00000X OS022887 PA

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522-1734

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 738-6420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230809002390 PA Practitioner - Emergency Medicine 2961825807
I20251030000577 WA Practitioner - Emergency Medicine 2961825807 Reassigns benefits to 4 organizations
I20260616004565 OK Practitioner - Emergency Medicine 2961825807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olney Emergency Group, a Professional LLCGroup PAC ID 8426399965, 20 clinicians

Practice addresses (Care Compare)

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

Hospital & facility affiliations

  • Willapa Harbor Hospital Hospital, South Bend, WA, CCN 501303
  • Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS022887PAMDEmergency Medicine Physician
OP616831328WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Dec 2, 2025 Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Interoperability endpoints

  • Direct secure messaging: agunnells187765@wellspan.direct-ci.com

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 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": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1356963631",
    "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": "717-738-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221734",
            "telephone_number": "717-738-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELLS",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP616831328",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS022887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.