AMANDA MCNICHOLAS (C.R.N.P.) – Nurse Practitioner, NPI 1104993443

AMANDA MCNICHOLAS (C.R.N.P.) is a healthcare provider. based in Reading, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials C.R.N.P.. They hold a License No. SP008236 (PA). The NPI Number for AMANDA MCNICHOLAS (C.R.N.P.) is 1104993443

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MCNICHOLAS (C.R.N.P.)
NPI
1104993443
Phone
(484) 628-0799
Address
PO BOX 13579
Enumeration Date
30 November 2006
Last Update Date
12 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
1456350461
Group Practice PAC ID
7618889213
Professional Enrollment ID
I20140410000614
Address ID
PA196112143WE420XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for AMANDA MCNICHOLAS (C.R.N.P.)

  • PO BOX 13579

    READING, PA 196123579

    Phone: (484) 628-0799

    Type: Mailing

  • 6th Avenue & Spruce Street

    West Reading, PA 19611

    Phone: (610) 988-8446

    Type: Location

  • Reading Hospital, 420, South 5th Avenue, West Reading, Berks County, Pennsylvania, 19611, United States

    READING, PA 196112143

    Phone: (484) 628-4879

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140410000614INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6349$0
99239Hospital discharge day management, more than 30 minutes4242$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 19612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618889213View full group profile
NameSpecialtyState
H O S P I T A L I S TPA
Certified Registered Nurse Anesthetist (Crna)PA
General Surgery, Critical Care (Intensivists)PA
-PA
-PA
N E U R O L O G YPA
Hospitalist, Internal MedicinePA
-PA
General SurgeryMO
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMANDA MCNICHOLAS (C.R.N.P.)?
AMANDA MCNICHOLAS (C.R.N.P.) — NPI 1104993443 — is the standard way to identify this listing.
Is AMANDA MCNICHOLAS (C.R.N.P.) listed as active for patients and plans?
The listing shows AMANDA MCNICHOLAS (C.R.N.P.) as active in the NPI system.
What healthcare role does AMANDA MCNICHOLAS (C.R.N.P.) hold?
Scheduling teams often label AMANDA MCNICHOLAS (C.R.N.P.) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does AMANDA MCNICHOLAS (C.R.N.P.) list a practice location?
Patients near Reading, Pennsylvania may find AMANDA MCNICHOLAS (C.R.N.P.) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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