Active NPI
Amanda S Walther, CRNP
- Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R176495
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-8639
- NPI assigned
- Feb 2, 2010
- 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 | R176495 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-8639
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 962462-01 & 02 | Other | MD | BLUE CROSS/BLUE SHIELD |
| 419790900 | Medicaid | MD | |
| S062-0383 | Other | MD | BLUE CROSS/BLUE SHIELD - REGIONAL |
Other names 1
- Amanda S Mulvihill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Park Dr
Suite 210
Concord, NC 28025-2966
Phone (704) 403-6100
1237 Harding PL
Suite 3300
Charlotte, NC 28204-2826
Phone (704) 446-5860
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians PA | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Past | Accepting new patients |
Locations
419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
101 E Wt Harris Blvd
Ste 1213
Charlotte, NC 28262
Phone (704) 863-1950
1237 Harding Pl
Ste 3300
Charlotte, NC 28204
Phone (704) 446-5860
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
Organizations & group practices 11
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1689623175
-
- Gastroenterology Physician
- Largo, MD
- NPI 1619860194
-
- Infectious Disease Physician
- Baltimore, MD
- NPI 1720038540
-
- Infectious Disease Physician
- Baltimore, MD
- NPI 1134179955
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Cardiovascular Disease Physician
- Concord, NC
- NPI 1710290564
-
- Social Worker
- Concord, NC
- NPI 1588178370
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1770815730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64442",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644442",
"telephone_number": "410-328-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHER",
"first_name": "AMANDA",
"middle_name": "S",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-02",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R176495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "962462-01 & 02",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "419790900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD - REGIONAL",
"identifier": "S062-0383",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MULVIHILL",
"middle_name": "S",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.