Individual provider Active NPI

Amanda Jo Charleton, APRN, FNP-BC

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1689347593
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029154 Issued in OH
Practice address
1301 Boardman Poland Rd
Youngstown, OH 44514-1960
Phone
(330) 629-2300
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029154 OH Primary

Addresses

Primary practice location

1301 Boardman Poland Rd
Youngstown, OH 44514-1960

Mailing address

1301 Boardman Poland Rd
Youngstown, OH 44514-1960
Phone (330) 629-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20211013003473 OH Practitioner - Nurse Practitioner 5799183265 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

1301 Boardman Poland Rd
Poland, OH 44514-1935
Phone (330) 629-2300

Merit-based Incentive Payment System (MIPS)

Final score
86.8 of 100Reported as group
Quality
79.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.13 of 100Reported as group
Quality
79.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029154OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Urgent Care Specialists, LLC CurrentSince Jun 1, 2025 Accepting new patients
Mahoning Valley Emergency Specialists LLC CurrentSince Nov 1, 2021 Accepting new patients
Mves Boardman LLC CurrentSince Jul 8, 2021 Accepting new patients
Mves Austintown LLC CurrentSince Nov 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1950 Niles Cortland Rd NE
Warren, OH 44484
Phone (234) 600-5752

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

1301 Boardman Poland Rd
Youngstown, OH 44514
Phone (330) 629-2300

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1689347593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BOARDMAN POLAND RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141960",
            "telephone_number": "330-629-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BOARDMAN POLAND RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141960",
            "telephone_number": "330-629-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLETON",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.