Individual provider Active NPI

Amy Miceli, D.P.M.

  • Podiatrist
  • Camp Hill, PA
National Provider Identifier
1932515756
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006579 Issued in PA
Practice address
Penn State Health Holy Spirit Medical Center
503 N. 21St Street
Camp Hill, PA 17011-2204
Phone
(717) 763-2100
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006579 PA
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC006579 PA Primary

Addresses

Primary practice location

Penn State Health Holy Spirit Medical Center
503 N. 21St Street
Camp Hill, PA 17011-2204

Mailing address

1312 Strafford Rd
Camp Hill, PA 17011-6206
Phone (717) 557-9075

Other practice location 1

Penn State Health Hampden Medical Center
2200 Good Hope Road
Enola, PA 17025-1210
Phone (717) 981-9000

Other identifiers 1

IdentifierTypeStateIssuer
103902234-0010MedicaidPA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610000032 PA Practitioner - Podiatry 4981962297 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006579PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Miceli DPM LLC Single Specialty CurrentSince Oct 3, 2024 Accepting new patients
Orthopedic Surgeons LTD CurrentSince Jul 1, 2021 Accepting new patients
Orthopedic Surgeons LTD Single Specialty Current Accepting new patients
Pennsylvania Department of Public Welfare Single Specialty CurrentSince Dec 10, 2023 Accepting new patients
Orthopedic Surgeons LTD CurrentSince Jul 1, 2021 Accepting new patients
Pennsylvania Department of Human Services Single Specialty CurrentSince Dec 10, 2023 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

160 Main St
Wernersville, PA 19565
Phone (610) 670-4100

Organizations & group practices 6

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1932515756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 STRAFFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170116206",
            "telephone_number": "717-557-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER",
            "address_2": "503 N. 21ST STREET",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-763-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Penn State Health Hampden Medical Center",
            "address_2": "2200 Good Hope Road",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170251210",
            "country_code": "US",
            "telephone_number": "717-981-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICELI",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006579",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103902234-0010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.