Active NPI
Ama Nimako-Boateng, CRNP
- Nurse Practitioner
- Orwigsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP031330
- Practice address
- 100 Paramount Blvd
Orwigsburg, PA 17961-2202 - Phone
- (272) 639-1000
- NPI assigned
- Nov 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP031330 | PA | Primary |
Addresses
Primary practice location
100 Paramount Blvd
Orwigsburg, PA 17961-2202
Mailing address
100 Paramount Blvd
Orwigsburg, PA 17961-2202
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (484) 526-2440
1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142
1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571
801 Ostrm St
Bethlehem, PA 18015-1000
Hospital & facility affiliations
- St Lukes Hospital
- Geisinger St. Luke'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP031330 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| Gslpg, Inc | Current | Accepting new patients |
Locations
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000
Interoperability endpoints
- animakoboateng277403@direct-sluhn.org
Organizations & group practices 4
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.
-
- Specialist
- Orwigsburg, PA
- NPI 1366006702
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Nephrology Physician
- Stroudsburg, PA
- NPI 1134581309
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orwigsburg, PA
- NPI 1265096069
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1750105771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARAMOUNT BLVD",
"city": "ORWIGSBURG",
"state": "PA",
"postal_code": "179612202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PARAMOUNT BLVD",
"city": "ORWIGSBURG",
"state": "PA",
"postal_code": "179612202",
"telephone_number": "272-639-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMAKO-BOATENG",
"first_name": "AMA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP031330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orwigsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.