Individual provider Active NPI

Amanda Kooker, FNP-BC

  • Family Nurse Practitioner
  • Langhorne, PA
National Provider Identifier
1871299735
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027018 Issued in PA
Practice address
582 Middletown Blvd Ste B90
Langhorne, PA 19047-1828
Phone
(267) 789-3119
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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 SP027018 PA Primary

Addresses

Primary practice location

582 Middletown Blvd Ste B90
Langhorne, PA 19047-1828

Mailing address

582 Middletown Blvd Ste B90
Langhorne, PA 19047-1828
Phone (267) 789-3119

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
I20230228001201 PA Practitioner - Nurse Practitioner 6204209992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027018PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physicians Group LLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

8846 Frankford Ave
Philadelphia, PA 19136
Phone (215) 332-8221

5363 Oxford Ave
Philadelphia, PA 19124
Phone (215) 288-0707

339 E Street Rd
Trevose, PA 19053
Phone (215) 464-4111

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1871299735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MIDDLETOWN BLVD STE B90",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471828",
            "telephone_number": "267-789-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MIDDLETOWN BLVD STE B90",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471828",
            "telephone_number": "267-789-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOKER",
        "first_name": "AMANDA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.