Individual provider Active NPI

Amy S Wirtner, MD

  • Emergency Medicine Physician
  • Lewisburg, PA
National Provider Identifier
1851441323
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD455734 Issued in PA
Practice address
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone
(570) 522-2640
Fax
(570) 768-3921
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 236945 NY
Emergency Medicine Physician 207P00000X MD455734 PA Primary

Addresses

Primary practice location

1 Hospital Dr
Lewisburg, PA 17837-9350

Mailing address

407 Airport Exec. Park
Nanuet, NY 10954

Other practice location 1

330 East 17TH St.
New York, NY 10003
Phone (212) 420-2000

Other identifiers 1

IdentifierTypeStateIssuer
02718087MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051115001127 NY Practitioner - Emergency Medicine 2062431315 Reassigns benefits to 1 organization
I20151221001877 PA Practitioner - Emergency Medicine 2062431315 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

25 Monument Rd
York, PA 17403-5073

Hospital & facility affiliations

  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
236945NYMDEmergency Medicine Physician
MD455734PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Evangelical Medical Services Organization Current Accepting new patients
Evangelical Medical Services Organization Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Evangelical Medical Services Organization CurrentSince Jan 1, 2019 Accepting new patients
Bimc Faculty Practice Emergency Medicine Past Accepting new patients
Beth Israel Medical Center Emergency Medicine Past Accepting new patients

Locations

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: awirtner485118@wellspan.direct-ci.com

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1851441323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AIRPORT EXEC. PARK",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379350",
            "telephone_number": "570-522-2640",
            "fax_number": "570-768-3921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 EAST 17TH ST.",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "country_code": "US",
            "telephone_number": "212-420-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRTNER",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "236945",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD455734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02718087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.