Individual provider Active NPI

Amanda Lee McLaughlin, CRNP

  • Nurse Practitioner
  • Cambridge Springs, PA
National Provider Identifier
1831658368
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020115 Issued in PA
Practice address
451 Fullerton Ave
Cambridge Springs, PA 16403-1238
Phone
(814) 398-5400
NPI assigned
Mar 14, 2019
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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 SP020115 PA Primary

Addresses

Primary practice location

451 Fullerton Ave
Cambridge Springs, PA 16403-1238

Mailing address

476 Randolph LN
Meadville, PA 16335-2274
Phone (814) 282-1297

Other identifiers 1

IdentifierTypeStateIssuer
SP020115OtherPACRNP

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL file:///C:/Users/Amanda/Downloads/Amanda%20McLaughlin.pdf

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 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
I20230202000241 FL Practitioner - Nurse Practitioner 0547693251
I20260128000666 PA Practitioner - Nurse Practitioner 0547693251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020115PAMDNurse Practitioner

Organizations & group practices 1

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": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1831658368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 RANDOLPH LN",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352274",
            "telephone_number": "814-282-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 FULLERTON AVE",
            "city": "CAMBRIDGE SPRINGS",
            "state": "PA",
            "postal_code": "164031238",
            "telephone_number": "814-398-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "SP020115",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "file:///C:/Users/Amanda/Downloads/Amanda%20McLaughlin.pdf",
            "affiliation": "N",
            "address_1": "451 Fullerton Ave",
            "city": "Cambridge Springs",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164031238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge Springs, PA

Sources for this page

Verify at the official NPI Registry.