Individual provider Active NPI

Amanda Scholtyssek

  • Nurse Practitioner
  • Exton, PA
National Provider Identifier
1962956631
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN628373 Issued in PA
Practice address
278 Eagleview Blvd
Exton, PA 19341-1157
Phone
(610) 822-2022
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN628373 PA Primary

Addresses

Primary practice location

278 Eagleview Blvd
Exton, PA 19341-1157

Mailing address

45 S Pine St
Elverson, PA 19520-9720
Phone (610) 901-3900

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8955

Other practice location 2

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (856) 371-2921

Other practice location 3

45 S Pine St
Elverson, PA 19520-9720
Phone (610) 901-3900

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
I20161206000371 PA Practitioner - Nurse Practitioner 0446530661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians

Practice addresses (Care Compare)

510 E Gay St
Doctors Express
West Chester, PA 19380-2799
Phone (484) 999-0204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN628373PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Urgent Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Jun 1, 2024 Accepting new patients
A-Z Urgent Care LLC CurrentSince Sep 1, 2022 Accepting new patients
MHP MD PLLC CurrentSince May 24, 2023 Accepting new patients

Locations

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

45 S Pine St
Elverson, PA 19520
Phone (610) 901-3900

278 Eagleview Blvd
Exton, PA 19341
Phone (610) 561-6400

278 Eagleview Blvd
Ste 14
Exton, PA 19341
Phone (610) 822-2022

215 Lancaster Ave
Malvern, PA 19355
Phone (484) 329-6600

180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047

510 E Gay St
West Chester, PA 19380
Phone (302) 235-8808

2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777

Organizations & group practices 4

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1962956631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PINE ST",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "195209720",
            "telephone_number": "610-901-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 EAGLEVIEW BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411157",
            "telephone_number": "610-822-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8955",
            "fax_number": "717-531-4587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 W Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011763",
            "country_code": "US",
            "telephone_number": "856-371-2921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Elverson",
            "state": "PA",
            "postal_code": "195209720",
            "country_code": "US",
            "telephone_number": "610-901-3900",
            "fax_number": "610-901-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLTYSSEK",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN628373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.