Individual provider Active NPI

Amy M Riley, CRNP

  • Nurse Practitioner
  • Williamsport, PA
National Provider Identifier
1528009552
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP007484 Issued in PA
Practice address
1100 Grampian Blvd
Williamsport, PA 17701-1907
Phone
(570) 326-8470
Fax
(814) 534-3494
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP007484 PA Primary

Addresses

Primary practice location

1100 Grampian Blvd
Williamsport, PA 17701-1907

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ariley432409@upmc.direct-ci.com

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
I20090520000033 PA Practitioner - Nurse Practitioner 9931126505 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc WellsboroGroup PAC ID 5294710414, 22 clinicians

Practice addresses (Care Compare)

15 Meade St
Suite L3
Wellsboro, PA 16901-1813
Phone (570) 723-2855

Hospital & facility affiliations

  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Wellsboro Nurse Practitioner CurrentSince Sep 26, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC Nurse Practitioner CurrentSince Sep 1, 2014 Accepting new patients
Susquehanna Physician Services CurrentSince Jan 1, 2025 Accepting new patients
Upmc Wellsboro CurrentSince Sep 26, 2025 Accepting new patients
Charles Cole Memorial Hospital CurrentSince May 19, 2025 Accepting new patients
Charles Cole Memorial Hospital CurrentSince Jan 1, 2025 Accepting new patients
Susquehanna Physician Services CurrentSince Jan 1, 2025 Accepting new patients
Greenbrier Valley Emergency Physicians LLC Past Accepting new patients
John C Sharp PHD.,D.O. Past Accepting new patients
John C Sharp PHD.,D.O Past Accepting new patients
BJSM Med Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407

1020 Franklin St
Johnstown, PA 15905
Phone (814) 533-1095

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

15 Meade St
Ste L3
Wellsboro, PA 16901
Phone (570) 723-0100

9 Water St
Ofc Of
Wellsboro, PA 16901
Phone (570) 724-2325

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

Interoperability endpoints

  • Direct secure messaging: ariley432409@upmc.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1528009552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011907",
            "telephone_number": "570-326-8470",
            "fax_number": "814-534-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-30",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ariley432409@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.