Individual provider Active NPI

Amanda Lynn Gillio, CRNP

  • Nurse Practitioner
  • Exton, PA
National Provider Identifier
1962978254
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019385 Issued in PA
Practice address
278 Eagleview Blvd
Exton, PA 19341-1157
Phone
(610) 561-6320
Fax
(610) 561-6301
NPI assigned
Oct 15, 2018
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 SP019385 PA Primary

Addresses

Primary practice location

278 Eagleview Blvd
Exton, PA 19341-1157

Mailing address

278 Eagleview Blvd
Exton, PA 19341-1157
Phone (610) 561-6400

Other practice location 1

710 N Wales Rd
North Wales, PA 19454-1725
Phone (855) 925-4733

Other identifiers 1

IdentifierTypeStateIssuer
103575918-0004MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agillio@towerhealthurgentcare.org

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
I20181116002357 PA Practitioner - Nurse Practitioner 0840544409 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019385PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC-Pennsylvania CurrentSince Jul 20, 2022 Accepting new patients
Tower Health Urgent Care, LLC CurrentSince Jan 1, 2019 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 20, 2022 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444

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

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200

520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1962978254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 EAGLEVIEW BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411157",
            "telephone_number": "610-561-6400",
            "fax_number": "484-713-5255"
        },
        {
            "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": "610-561-6320",
            "fax_number": "610-561-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N Wales Rd",
            "address_purpose": "LOCATION",
            "city": "North Wales",
            "state": "PA",
            "postal_code": "194541725",
            "country_code": "US",
            "telephone_number": "855-925-4733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIO",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103575918-0004",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agillio@towerhealthurgentcare.org",
            "affiliation": "N",
            "endpointDescription": "agillio@towerhealthurgentcare.org",
            "address_1": "278 Eagleview Blvd",
            "city": "Exton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193411157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.