AMY JO NIELSEN FNP-C
NPI 1255839106
Nurse Practitioner - Family in Williamsport, PA
About Amy Jo Nielsen Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY JO NIELSEN FNP-C (NPI 1255839106) is an individual family provider in Williamsport, Pennsylvania, licensed in Pennsylvania (SP029454) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Jo Nielsen Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Nielsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
El Cajon, CA 92020
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIAMSPORT, PA 17701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amy Nielsen's NPI number?
The NPI number for Amy Nielsen is 1255839106. It was assigned to this individual provider in the NPPES registry on January 25, 2018.
Where is Amy Nielsen located?
Amy Nielsen practices at 471 Hepburn St, Williamsport, PA 17701. The listed phone number is (570) 567-5400.
What is Amy Nielsen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Nielsen enrolled in Medicare?
Yes. Amy Nielsen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Nielsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Nielsen reassigns Medicare benefits to Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Nielsen was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amy Jo Nielsen, FNP-C · NPI 1255839106
Family physician in Williamsport, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 25, 2018.
## Identity
- **NPI:** 1255839106 (Entity type: Individual)
- **Enumerated:** January 25, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP029454 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 471 HEPBURN ST, Williamsport, PA 17701-6122
- **Phone:** (570) 567-5400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic Diagnostic Medical Group Of San Diego Inc (NPI 1568659233, El Cajon, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255839106) · Data from the CMS NPPES public registry.