Active NPI
Amy Miceli, D.P.M.
- Podiatrist
- Camp Hill, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC006579
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006579 | PA | |
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103902234-0010 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006579 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Miceli DPM LLC | Single Specialty | Current | Accepting new patients |
| Orthopedic Surgeons LTD | Current | Accepting new patients | |
| Orthopedic Surgeons LTD | Single Specialty | Current | Accepting new patients |
| Pennsylvania Department of Public Welfare | Single Specialty | Current | Accepting new patients |
| Orthopedic Surgeons LTD | Current | Accepting new patients | |
| Pennsylvania Department of Human Services | Single Specialty | Current | 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.
-
dba Orthopedic Institute of PA
- Orthopaedic Surgery Physician
- Camp Hill, PA
- NPI 1386620755
Single Specialty
-
dba Wernersville State Hospital
- Psychiatric Hospital
- Wernersville, PA
- NPI 1497739973
Single Specialty
-
- Orthopaedic Surgery Physician
- Harrisburg, PA
- NPI 1922550540
-
dba Orthopedic Institute of Pennsylvania
- Occupational Therapist
- Enola, PA
- NPI 1992674394
-
dba Allentown State Hospital
- Psychiatric Hospital
- Allentown, PA
- NPI 1386626919
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.