Individual provider Active NPI

Amy Jo Krall, CRNP

  • Family Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1477927408
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015657 Issued in PA
Practice address
912 Russell Dr
Lebanon, PA 17042-7485
Phone
(717) 272-7971
Fax
(717) 272-1241
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 SP015657 PA Primary

Addresses

Primary practice location

912 Russell Dr
Lebanon, PA 17042-7485

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

4131 Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 466-2451

Other practice location 2

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-7559

Other practice location 3

1695 Roosevelt Ave Ste B
York, PA 17408-8521
Phone (717) 812-4090

Other practice location 4

1400 S Forge Rd
Palmyra, PA 17078-9519
Phone (717) 272-7971

Other practice location 5

2319 S George St
York, PA 17403-5009
Phone (717) 812-4090

Other practice location 6

101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445

Other practice location 7

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275

Other practice location 8

9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350

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
I20160208000210 PA Practitioner - Nurse Practitioner 2466756762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

912 Russell Dr
Lebanon, PA 17042-7485
Phone (717) 272-7971

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 25, 2016 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 25, 2016 Accepting new patients

Locations

9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350

4131 Oregon Pike
Ephrata, PA 17522
Phone (717) 466-2451

446 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-4334

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971

101 W Airport Rd
Lititz, PA 17543
Phone (717) 466-2445

1400 S Forge Rd
Palmyra, PA 17078
Phone (717) 274-5500

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

2319 S George St
York, PA 17403
Phone (717) 747-9911

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

1695 Roosevelt Ave
Ste B
York, PA 17408

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: akrall11038@wellspan.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1477927408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 RUSSELL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427485",
            "telephone_number": "717-272-7971",
            "fax_number": "717-272-1241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4131 Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229550",
            "country_code": "US",
            "telephone_number": "717-466-2451",
            "fax_number": "717-466-2453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-812-7559",
            "fax_number": "717-632-2422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 Roosevelt Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174088521",
            "country_code": "US",
            "telephone_number": "717-812-4090",
            "fax_number": "717-798-3687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Forge Rd",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "PA",
            "postal_code": "170789519",
            "country_code": "US",
            "telephone_number": "717-272-7971",
            "fax_number": "717-272-1241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2319 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035009",
            "country_code": "US",
            "telephone_number": "717-812-4090",
            "fax_number": "717-741-3554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439274",
            "country_code": "US",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-5275",
            "fax_number": "717-738-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Nathan Ln",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170036500",
            "country_code": "US",
            "telephone_number": "717-639-3350",
            "fax_number": "717-303-3546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRALL",
        "first_name": "AMY JO",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.