Individual provider Active NPI

Amanda Bender, PA

  • Physician Assistant
  • York, PA
National Provider Identifier
1962867341
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
205 Saint Charles Way
York, PA 17402-4659
Phone
(717) 741-4666
Fax
(717) 741-9649
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006552 MD
Physician Assistant 363A00000X PA Primary

Addresses

Primary practice location

205 Saint Charles Way
York, PA 17402-4659

Mailing address

205 Saint Charles Way
York, PA 17402-4659
Phone (717) 741-4666

Other practice location 1

525 McCosh St
Hanover, PA 17331-2238
Phone (717) 632-2711

Other names 1

  • Amanda Bussells 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
I20241204002884 PA Practitioner - Physician Assistant 0446526222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of York IncGroup PAC ID 5092701466, 18 clinicians

Practice addresses (Care Compare)

205 Saint Charles Way
York, PA 17402-4643
Phone (717) 741-4666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as group
Quality
100
Promoting interoperability
93
Improvement activities
40
Cost
82.65

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006552MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology, P.a. CurrentSince Aug 11, 2024 Accepting new patients

Locations

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

231 Najoles Rd
Ste 300
Millersville, MD 21108
Phone (443) 837-7770

Interoperability endpoints

  • Direct secure messaging: abender@dermyork.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1962867341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024659",
            "telephone_number": "717-741-4666",
            "fax_number": "717-741-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SAINT CHARLES WAY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024659",
            "telephone_number": "717-741-4666",
            "fax_number": "717-741-9649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 McCosh St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312238",
            "country_code": "US",
            "telephone_number": "717-632-2711",
            "fax_number": "717-741-9649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "AMANDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006552",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BUSSELLS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.