Individual provider Active NPI

Richard M Amundson, CRNA

  • Certified Registered Nurse Anesthetist
  • York, PA
National Provider Identifier
1609315969
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
TLRN050941 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 812-7687
NPI assigned
Feb 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 644378-1 NY
Certified Registered Nurse Anesthetist 367500000X TLRN050941 PA Primary

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

512 Bromley Rd
Churchville, NY 14428-9610

Other practice location 1

12 St Paul Dr Ste 100
Chambersburg, PA 17201-1035
Phone (717) 217-6072

Other practice location 2

25 Monument Rd Ste 270
York, PA 17403-5073
Phone (717) 741-8240

Other practice location 3

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500

Other practice location 4

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

Other practice location 5

169 Martin Aveunue
Ephrata, PA 17522-1734
Phone (717) 733-0311

Other practice location 6

55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831000198 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739452426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1001 S George St
York, PA 17403-3676
Phone (717) 851-2345

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
644378-1NYMDRegistered Nurse
TLRN050941PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Current Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

12 St Paul Dr
Ste 100
Chambersburg, PA 17201
Phone (717) 217-6072

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

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

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

1001 S George St
York, PA 17403
Phone (717) 812-7687

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

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

55 Monument Rd
York, PA 17403
Phone (717) 741-5257

Organizations & group practices 5

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 11

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1609315969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 BROMLEY RD",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144289610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-812-7687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 St Paul Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035073",
            "country_code": "US",
            "telephone_number": "717-741-8240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Aveunue",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-733-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-812-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-20",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "644378-1",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "TLRN050941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.