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

Amy Elizabeth Vanderwall, CRNP

Individual provider Registered Nurse · NPI 1659836914

Amy Elizabeth Vanderwall, CRNP is a Nurse Practitioner in Williamsport, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

33 W 3rd St Ste 201
Williamsport, PA 17701-6523
Phone: (570) 429-3501
Fax: (570) 429-3502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP020400 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN630439 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP020400 (PA)

Record details

NPI number1659836914
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedJanuary 31, 2019
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Williamsport