Individual provider Active NPI

Amanda Nartker, APRN-CNP

  • Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1801360086
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022931 Issued in OH
Practice address
5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174
Phone
(419) 824-6599
NPI assigned
Jan 22, 2019
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 APRN.CNP.022931 OH Primary

Addresses

Primary practice location

5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174

Mailing address

107 Clayton St
Walbridge, OH 43465-1404
Phone (419) 280-1828

Other names 1

  • Amanda Nuckols Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anuckols166550@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190321002405 OH Practitioner - Nurse Practitioner 4486994894 Reassigns benefits to 3 organizations
I20210310001045 MI Practitioner - Nurse Practitioner 4486994894 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Nurse Practitioner CurrentSince Feb 9, 2019 Accepting new patients
The Toledo Hospital CurrentSince Oct 10, 2024 Accepting new patients
The Toledo Hospital CurrentSince Oct 10, 2024 Accepting new patients
Promedica Central Physicians CurrentSince Feb 9, 2019 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients

Locations

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

718 N Macomb St
#5
Monroe, MI 48162

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

2390 Enterprise St
Fremont, OH 43420
Phone (419) 461-1057

2801 Bay Park Dr
#2300
Oregon, OH 43616

2801 Bay Park Dr
Ste 2300
Oregon, OH 43616

5308 Harroun Rd
Sylvania, OH 43560

5308 Harroun Rd
Ste 55
Sylvania, OH 43560
Phone (419) 824-6599

5308 Harroun Rd
Ste 155
Sylvania, OH 43560
Phone (419) 824-6100

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

Organizations & group practices 7

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1801360086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CLAYTON ST",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434651404",
            "telephone_number": "419-280-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 55",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602174",
            "telephone_number": "419-824-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARTKER",
        "first_name": "AMANDA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anuckols166550@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "5308 Harroun Rd Ste 55",
            "city": "Sylvania",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435602174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NUCKOLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.