Individual provider Active NPI

Amanda Nichole Cieszynski, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1871118448
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP022852 Issued in PA
Practice address
1000 Gamma Dr Ste 501
Pittsburgh, PA 15238-2926
Phone
(412) 249-9288
NPI assigned
Jun 10, 2020
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022852 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP022852 PA Primary

Addresses

Primary practice location

1000 Gamma Dr Ste 501
Pittsburgh, PA 15238-2926

Mailing address

1000 Gamma Drvie
Suite 501
Pittsburgh, PA 15238
Phone (412) 249-9288

Other names 1

  • Amanda Nichole Klukan Former name

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
I20210729001519 PA Practitioner - Nurse Practitioner 4183027030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

110 Hidden Valley Rd
MC Murray, PA 15317-2685
Phone (724) 374-3468

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC CurrentSince Nov 11, 2024 Accepting new patients
Western PA Behavioral Health Resources LLC CurrentSince Aug 5, 2021 Accepting new patients
Intercare Health Systems, LTD, Dba Intercare Psychiatric Services Psychiatric/Mental Health PastSince Nov 17, 2024 Accepting new patients

Locations

111 Roberts Rd
Ste 150
Grindstone, PA 15442
Phone (724) 785-4346

707 Ligonier St
Latrobe, PA 15650
Phone (724) 537-9515

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

1000 Gamma Dr
Ste 501
Pittsburgh, PA 15238
Phone (412) 249-9288

5301 Grove Rd
Ste M123
Pittsburgh, PA 15236
Phone (412) 677-9100

640 Jefferson Ave
Washington, PA 15301
Phone (724) 222-2660

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1871118448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GAMMA DRVIE",
            "address_2": "SUITE 501",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15238",
            "telephone_number": "412-249-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GAMMA DR STE 501",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382926",
            "telephone_number": "412-249-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESZYNSKI",
        "first_name": "AMANDA",
        "middle_name": "NICHOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022852",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KLUKAN",
            "middle_name": "NICHOLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.