Individual provider Active NPI

Amanda Jo McDole

  • Adult Health Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1760012272
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
026201 Issued in OH
Practice address
5600 Monroe Street
Building a Suite 106
Sylvania, OH 43560
Phone
(419) 349-6510
Fax
(419) 847-2232
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 026201 OH Primary

Addresses

Primary practice location

5600 Monroe Street
Building a Suite 106
Sylvania, OH 43560

Mailing address

5600 Monroe Street
Building a Suite 106
Sylvania, OH 43560
Phone (419) 349-6510

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
I20200217004473 OH Practitioner - Nurse Practitioner 1153758990 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026201OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Pain Services, PLL CurrentSince Feb 1, 2020 Accepting new patients
Toledo Pain Services, PLL CurrentSince Feb 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

846 S Coy Rd
Ste 100
Oregon, OH 43616

5151 Monroe St
Ste 104
Toledo, OH 43623

3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500

Organizations & group practices 3

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1760012272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MONROE STREET",
            "address_2": "BUILDING A SUITE 106",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-349-6510",
            "fax_number": "419-847-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MONROE STREET",
            "address_2": "BUILDING A SUITE 106",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-349-6510",
            "fax_number": "419-847-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOLE",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "026201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.