Individual provider Active NPI

Amanda Tokarick-Moyer, CRNP

  • Nurse Practitioner
  • Hamburg, PA
National Provider Identifier
1780415117
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030288 Issued in PA
Practice address
9 Daves Way
Hamburg, PA 19526-1413
Phone
(610) 628-7201
Fax
(610) 628-7211
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 SP030288 PA Primary

Addresses

Primary practice location

9 Daves Way
Hamburg, PA 19526-1413

Mailing address

9 Daves Way
Hamburg, PA 19526-1413
Phone (610) 628-7201

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
I20241125003911 PA Practitioner - Nurse Practitioner 4183159395 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke'S HospitalGroup PAC ID 0648189688, 100 clinicians
The Carbon-Schuylkill Community Hospital, Inc.Group PAC ID 4486562030, 41 clinicians
GSL HospitalGroup PAC ID 8921338583, 23 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke'S Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

120 Pine St
Tamaqua, PA 18252-1409
Phone (570) 645-1500

2650 Woodglen Rd
Geisinger St Luke'S Care Now Pottsville
Pottsville, PA 17901-1335
Phone (272) 639-5780

360 W Riddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

9 Dave'S Way
Hamburg, PA 19526-1463
Phone (610) 628-7201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030288PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital Monroe Campus CurrentSince Sep 30, 2024 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 30, 2024 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Hospital Current Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Sep 30, 2024 Accepting new patients
St Luke'S Hospital CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Hospital CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Quakertown Hospital Current Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Hosptial CurrentSince Sep 30, 2024 Accepting new patients
GSL Hospital CurrentSince Sep 30, 2024 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
St. Luke'S Hospital Monroe Campus Current Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

9 Daves Way
Hamburg, PA 19526
Phone (610) 628-7201

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: atokarickmoyer333105@direct-sluhn.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1780415117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DAVES WAY",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261413",
            "telephone_number": "610-628-7201",
            "fax_number": "610-628-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DAVES WAY",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261413",
            "telephone_number": "610-628-7201",
            "fax_number": "610-628-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKARICK-MOYER",
        "first_name": "AMANDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, PA

Sources for this page

Verify at the official NPI Registry.