Amanda Jane Bylsma, NP
Nurse Practitioner, Family in Albany, NY. Individual provider (NPI-1).
NPI number1053976993
StatusActive
Last updated in NPPESOct 13, 2021
Details
- NPI
- 1053976993
- Entity type
- Individual (NPI-1)
- Name
- Amanda Jane Bylsma
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2019
- Certification date
- Oct 13, 2021
- Last updated
- Oct 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 344206 | NY | Yes |
Practice location
5 Palisades Dr Ste 200Albany, NY 12205-6433
Phone 518-438-0019
Mailing address
Po Box 14890Albany, NY 12212-4890
Other practice locations
315 S Manning Blvd
Albany, NY 12208-1707
Albany, NY 12208-1707
Phone 518-525-1550 · Fax 518-525-6545
2215 Burdett Ave
Troy, NY 12180-2466
Troy, NY 12180-2466
Phone 518-271-3300 · Fax 518-271-3440
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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