Amy Lynne Montgomery, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP020498 Issued in PA

Practice address

310 Lambs Gap Rd
Mechanicsburg, PA 17050-2522

Phone

(717) 795-9566

Fax

(717) 795-9567

NPI assigned

Jul 15, 2019

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1770135147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOLLY LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502777",
            "telephone_number": "717-503-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAMBS GAP RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502522",
            "telephone_number": "717-795-9566",
            "fax_number": "717-795-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Modelewski, DO
• Allison Mohney
• Cameron Andrew Mohrfeld, DMD
• Roy E Monsour, MD
• Kleisy Montas-Rivera
• Pamela Sue Moran, LSW
• Lee Wood Morand, PSY. D.
• Tracy Morel, DPT
• Troy Allen Moritz, D.O.
• Callista Costopoulos Morris, D.O.

• Family Nurse Practitioner in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.