Frank O Amanze, CRNP
Individual provider Active NPI Gerontology Nurse Practitioner · Chester, PA
NPI 1922569367 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1922569367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- SP019781 (PA)
- Practice address
- 30 Medical Center Blvd Ste 302
Chester, PA 19013-3957 - Phone
- (610) 872-8501
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190924000123 | PA | Practitioner - Nurse Practitioner | 3971833682 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients | |
| Prospect Health Access Network, Inc. | Current |
Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP019781 | PA | Yes |
Addresses
Primary practice location
30 Medical Center Blvd Ste 302
Chester, PA 19013-3957
Mailing address
30 Medical Center Blvd Ste 302
Chester, PA 19013-3957
Phone (610) 872-8501
Other providers in Chester, PA
- Syed Ali
- Mary Rachel Alleman
- Lauren Allen
- Carolina Gonzalez Alshon
- Ayshia Alston
- Martin N/a Amaro
- American Clinic of Chiropractic
- Kieyannah Anderson
- Victoria M Anderson
- Tana Andre
All providers in Chester, PA · Gerontology Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.