Individual provider Active NPI

Amy Martino, RN

  • Certified Registered Nurse Anesthetist
  • Falls Church, VA
National Provider Identifier
1457322901
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024177944 Issued in VA
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(703) 776-4001
NPI assigned
Jan 31, 2006
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024177944 VA Primary
Certified Registered Nurse Anesthetist 367500000X RN688649 PA
Registered Nurse 163W00000X 26NR12124300 NJ

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

7160 Barry Rd
Alexandria, VA 22315-3409
Phone (856) 465-1985

Other practice location 1

1 Jarrett White Rd
Tripler Army Medical Center ATTN:MCHK-QS
Tripler Amc, HI 96859-5001
Phone (808) 433-2460

Other practice location 2

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 231-8772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220909001835 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012344880 Reassigns benefits to 1 organization
I20251020000055 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012344880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Pinnacle Anesthesia Services LLCGroup PAC ID 1951662980, 252 clinicians
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 782-3282

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 234-2561

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR12124300NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Oct 1, 2025 Accepting new patients
Anesthesia Associates of Kansas City PA CurrentSince Sep 13, 2022 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

2200 Good Hope Rd
Ste 1076
Enola, PA 17025
Phone (717) 981-8160

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

1995 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2600

Organizations & group practices 6

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 9

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1457322901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 BARRY RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153409",
            "telephone_number": "856-465-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center ATTN:MCHK-QS",
            "address_purpose": "LOCATION",
            "city": "Tripler Amc",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-2460",
            "fax_number": "808-433-1558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Technology Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170508522",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "fax_number": "717-782-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024177944",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN688649",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12124300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.