Amanda Louise Nusbaum, RN
NPI 1053195339ActiveIndividual· Nurse Practitioner· Martinsburg, WV
Nurse Practitioner (RN) in Martinsburg, West Virginia, licensed in MD and WV, with an NPI issued in August 2023. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1053195339 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Aug 21, 2023 |
| Last updated in NPPES | Dec 15, 2025 |
| Certified by provider | Dec 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AC008421 | MD |
| Student in an Organized Health Care Education/Training Program | 390200000X | 103962 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MD) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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