Individual provider Active NPI

Amanda Greenblatt, NP

  • Nurse Practitioner
  • Punxsutawney, PA
National Provider Identifier
1700334141
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN520952L Issued in PA
Practice address
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone
(814) 938-7066
Fax
(814) 938-4509
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN520952L PA Primary

Addresses

Primary practice location

81 Hillcrest Dr
Punxsutawney, PA 15767-2605

Mailing address

81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-7066

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
I20161213001996 PA Practitioner - Nurse Practitioner 0345520102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Punxsutawney Area Hospital IncGroup PAC ID 3375517147, 33 clinicians

Practice addresses (Care Compare)

81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-7066

Hospital & facility affiliations

  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN520952LPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Punxsutawney Area Hospital Inc CurrentSince Jul 24, 2020 Accepting new patients
Indiana Healthcare Physician Services Inc Nurse Practitioner CurrentSince May 11, 2020 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Punxsutawney Area Hospital Inc. CurrentSince Jul 24, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

81 Hillcrest Dr
Ste 200
Punxsutawney, PA 15767

81 Hillcrest Dr
Ste 106
Punxsutawney, PA 15767
Phone (814) 938-2064

81 Hillcrest Dr
Ste 100
Punxsutawney, PA 15767
Phone (814) 938-7045

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

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 1

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1700334141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-7066",
            "fax_number": "814-938-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN520952L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.