Individual provider Active NPI

Amanda Katherine Lewis, FNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1790330660
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020603 Issued in PA
Practice address
611 Duncan Ave
Pittsburgh, PA 15237-5854
Phone
(412) 358-8690
NPI assigned
Aug 7, 2019
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020603 PA Primary

Addresses

Primary practice location

611 Duncan Ave
Pittsburgh, PA 15237-5854

Mailing address

611 Duncan Ave
Pittsburgh, PA 15237-5854
Phone (412) 358-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX, KY, VA, DC, WV6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20190924000170 PA Practitioner - Nurse Practitioner 0143550855 Reassigns benefits to 1 organization
I20250415002566 TX Practitioner - Nurse Practitioner 0143550855 Reassigns benefits to 1 organization
I20260330002026 KY Practitioner - Nurse Practitioner 0143550855 Reassigns benefits to 1 organization
I20260415003154 VA Practitioner - Nurse Practitioner 0143550855 Reassigns benefits to 1 organization
I20260416003602 DC Practitioner - Nurse Practitioner 0143550855 Reassigns benefits to 1 organization
I20260616001414 WV Practitioner - Nurse Practitioner 0143550855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 Church St
Nashville, TN 37219-2301

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Feb 16, 2026 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Oct 6, 2019 Accepting new patients

Locations

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

L2540
Columbus, OH 43260

60 Highland Rd
Bethel Park, PA 15102
Phone (412) 531-6050

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (267) 362-3232

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1790330660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DUNCAN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375854",
            "telephone_number": "412-358-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DUNCAN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375854",
            "telephone_number": "412-358-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMANDA",
        "middle_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.