Individual provider Active NPI

Amy E Cleck, CRNP

  • Adult Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1558565713
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
UP00680X Issued in PA
Practice address
4518 Union Deposit Rd
Andrews & Patel Associates, PC
Harrisburg, PA 17111-2921
Phone
(717) 526-1030
Fax
(717) 526-1032
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X UP00680X PA Primary

Addresses

Primary practice location

4518 Union Deposit Rd
Andrews & Patel Associates, PC
Harrisburg, PA 17111-2921

Mailing address

39 Augusta Dr
Annville, PA 17003-8609
Phone (717) 526-1030

Other practice location 1

4300 Londonderry Rd Ste 302
Harrisburg, PA 17109-5317
Phone (717) 724-6780

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acleck22508@phsdirect.pinnaclehealth.org Direct

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
I20110426000031 PA Practitioner - Nurse Practitioner 6406031095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Hillman Cancer Center-PinnacleGroup PAC ID 4284044934, 42 clinicians

Practice addresses (Care Compare)

4300 Londonderry Rd
Suite 305
Harrisburg, PA 17109-5317
Phone (717) 724-6780

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
78.29
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UP00680XPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Hillman Cancer Center-Pinnacle CurrentSince Aug 2, 2023 Accepting new patients

Locations

4300 Londonderry Rd
Ste 302
Harrisburg, PA 17109
Phone (717) 724-6780

4300 Londonderry Rd
Ste 305
Harrisburg, PA 17109
Phone (717) 724-6780

Interoperability endpoints

  • Direct secure messaging: acleck537051@upmc.direct-ci.com

Organizations & group practices 1

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1558565713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 AUGUSTA DR",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170038609",
            "telephone_number": "717-526-1030",
            "fax_number": "717-526-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 UNION DEPOSIT RD",
            "address_2": "ANDREWS & PATEL ASSOCIATES, PC",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112921",
            "telephone_number": "717-526-1030",
            "fax_number": "717-526-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Londonderry Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095317",
            "country_code": "US",
            "telephone_number": "717-724-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLECK",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "UP00680X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acleck22508@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4300 Londonderry Rd Ste 302",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.