Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Louise Nusbaum, RN

Individual provider Nurse Practitioner · NPI 1053195339

Amanda Louise Nusbaum, RN is a Nurse Practitioner in Martinsburg, West Virginia. Qualified in 2024, 2 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Maryland and West Virginia.

Years since qualifying
2
Licensed in
MD, WV
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

193 Recurve Ln
Martinsburg, WV 25403-5402
Phone: (301) 524-6368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11110 Medical Campus Rd Ste 126, Hagerstown, MD 21742-6799 — (301) 241-7591

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AC008421 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 103962 (WV)

Record details

NPI number1053195339
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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