Individual provider Active NPI

Amanda Gattinella, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1467995936
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017312 Issued in PA
Practice address
800 Washington Ave
Philadelphia, PA 19147-4717
Phone
(215) 339-5100
Fax
(215) 454-6814
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017312 PA Primary

Addresses

Primary practice location

800 Washington Ave
Philadelphia, PA 19147-4717

Mailing address

1401 S 31St St
2ND Floor
Philadelphia, PA 19146-3506
Phone (215) 925-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20170614000415 PA Practitioner - Nurse Practitioner 4284902388 Reassigns benefits to 2 organizations
I20250512000051 NJ Practitioner - Nurse Practitioner 4284902388 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
Group practices

Practice addresses (Care Compare)

1020 Laurel Oak Rd
Suite 102
Voorhees, NJ 08043-3518
Phone (856) 783-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017312PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Dec 28, 2025 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Apr 4, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jun 9, 2025 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Apr 4, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 9, 2025 Accepting new patients
University of Penn - Medical Group CurrentSince Dec 28, 2025 Accepting new patients

Locations

1020 Laurel Oak Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 435-8842

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1401 S 31st St
#2
Philadelphia, PA 19146

800 Washington Ave
Philadelphia, PA 19147
Phone (215) 339-5100

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

Interoperability endpoints

  • Direct secure messaging: amanda.vanpelt.p1@direct.gpha.nextgenshare.com

Organizations & group practices 7

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 5

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1467995936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S 31ST ST",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463506",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474717",
            "telephone_number": "215-339-5100",
            "fax_number": "215-454-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTINELLA",
        "first_name": "AMANDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.