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
Hospital & facility affiliations 3
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
Medical Providers Partners PLLC
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
- Riddle Memorial Hospital
- Bryn Mawr Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240803000501 | PA | Practitioner - Nurse Practitioner | 8224575568 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Montco Wound and Primary Care Center PC | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Medical Providers Partners PLLC | Current |
Accepting new patients | |
| Main Line Healthcare | Nurse Practitioner | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Marah Alsayed Hasan
- Alternative Treatment Methods
- Christina Alulis
- Alisha Amendt
- Om Amin
- Amy Lenrow
- Maya Amy
- Veronica Andre
- Emily Gail Andrews
- Sarah-Ashley Andrews
All providers in Wynnewood, PA · Primary Care Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.