Emmanuel Owusu Amoah, CRNP

Individual provider Active NPI Primary Care Nurse Practitioner · Wynnewood, PA

NPI 1659124352 · NPPES record last updated Sep 3, 2025

Key facts

NPI
1659124352
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
SP029426 (PA)
Practice address
100 E Lancaster Avenue
Suite 361 Mob East
Wynnewood, PA 19096-3433
Phone
(484) 476-8390
NPI assigned
Apr 10, 2024
Sex
Male
Sole proprietor
No

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line Healthcare (1,154 clinicians)
Medical Providers Partners PLLC (11 clinicians)

Practice addresses (Care Compare)

100 E Lancaster Ave
Wynewood, PA 19096-3450
Phone (610) 642-1908

25 N Lansdowne Ave
Lansdowne, PA 19050-2205
Phone (631) 268-5644

Hospital & facility affiliations

  • Main Line Hospital Lankenau Hospital · Wynnewood, PA · CCN 390195
  • Riddle Memorial Hospital Hospital · Media, PA · CCN 390222
  • Bryn Mawr Hospital Hospital · Bryn Mawr, PA · CCN 390139

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240803000501 PA Practitioner - Nurse Practitioner 8224575568 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. Current
since Aug 1, 2024
Accepting new patients
Montco Wound and Primary Care Center PC Current
since Aug 1, 2025
Accepting new patients
Prospect Health Access Network, Inc. Current
since Aug 1, 2024
Accepting new patients
Medical Providers Partners PLLC Current
since Jun 20, 2025
Accepting new patients
Main Line Healthcare Nurse Practitioner Current
since Jul 19, 2025
Accepting new patients
Montgomery County Wound Healing Center LLC Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1 Medical Center Blvd
Ste 531
Chester, PA 19013
Phone (610) 447-2727

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

500 Evergreen Dr
Ste 26
Glen Mills, PA 19342
Phone (610) 619-7475

583 Shoemaker Rd
Kng of Prussa, PA 19406
Phone (484) 378-2424

25 N Lansdowne Ave
Lansdowne, PA 19050
Phone (631) 268-5644

1088 W Baltimore Pike
Ste 2203
Media, PA 19063
Phone (484) 476-8390

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

100 E Lancaster Ave
Ste 361
Wynnewood, PA 19096
Phone (484) 476-8390

100 E Lancaster Ave
#275
Wynnewood, PA 19096
Phone (215) 622-3743

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP029426 PA Yes
Nurse Practitioner 363L00000X SP029426 PA

Addresses

Primary practice location

100 E Lancaster Avenue
Suite 361 Mob East
Wynnewood, PA 19096-3433

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 337-1632

Other practice location 1

52 Baltimore Pike
Glen Mills, PA 19342-3002
Phone (484) 557-8446

Other practice location 2

583 Shoemaker Road
King of Prussia, PA 19406-4201
Phone (484) 378-2424

Other providers in Wynnewood, PA

All providers in Wynnewood, PA · Primary Care Nurse Practitioner in Pennsylvania

Sources for this page

Verify at the official NPI Registry.