Amy Elizabeth Vanderwall, CRNP in Williamsport, PA

Amy Elizabeth Vanderwall, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Williamsport, Pennsylvania. Her current practice location is 33 W 3rd St Ste 201, Williamsport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 429-3501.

Amy Elizabeth Vanderwall is licensed to practice in Pennsylvania (license number SP020400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659836914.

Contact Information

	Amy Elizabeth Vanderwall, CRNP
	33 W 3rd St Ste 201, Williamsport, PA 17701-6523
	(570) 429-3501
	(570) 429-3502

Map and Direction

Provider's Profile

Full Name	Amy Elizabeth Vanderwall
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	33 W 3rd St Ste 201, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659836914
Provider Enumeration Date: 01/31/2019
Last Update Date: 04/23/2025

Medicare PECOS Information:

PECOS PAC ID: 0143558254
Enrollment ID: I20190828001210

Medical Identifiers

Medical identifiers for Amy Elizabeth Vanderwall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659836914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN630439 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	SP020400 (Pennsylvania)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	SP020400 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Elizabeth Vanderwall allows following entities to bill medicare on her behalf.

Entity Name	Consonant Healing Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588122535 PECOS PAC ID: 1254662695 Enrollment ID: O20210511002102

Entity Name	Dynamic Healthcare Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487388187 PECOS PAC ID: 5597140178 Enrollment ID: O20220919000286

Entity Name	Lcdocs Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407570534 PECOS PAC ID: 6608245386 Enrollment ID: O20221220001798

Entity Name	Liberty Med Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366983033 PECOS PAC ID: 7416234075 Enrollment ID: O20250522000089

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Elizabeth Vanderwall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amy Elizabeth Vanderwall, CRNP 33 W 3rd St Ste 201, Williamsport, PA 17701-6523 Ph: (570) 429-3501	Amy Elizabeth Vanderwall, CRNP 33 W 3rd St Ste 201, Williamsport, PA 17701-6523 Ph: (570) 429-3501

Reviews and Comments

Nurse Practitioner Nurses in Williamsport, PA

Lucas Charles Mariano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 3002, Williamsport, PA 17701 Phone: 570-321-2820 Fax: 570-321-2821
Mrs. Mindi Nichols, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898
Ms. Sonya Miles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-567-5421
Ashlee Leigh Hall, CRNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2810 Fax: 570-321-2811
Merete Vogelsong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2800
Michelle Marie Dangle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400
Rebecca Rhone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 2001, Williamsport, PA 17701 Phone: 570-321-3165

Amy Elizabeth Vanderwall, CRNP - Medicare Nurse Practitioner in Williamsport, PA