MRS. AMANDA LYN FIDIAM PA-C
NPI 1003193202
Physician Assistant - Medical in Moosic, PA

Q: What is Amanda Fidiam's NPI number?

The NPI number for Amanda Fidiam is 1003193202. It was assigned to this individual provider in the NPPES registry on November 16, 2011. The provider is also known as Miss Amanda Lyn Beck Pa-C.

Q: What is Amanda Fidiam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Fidiam was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since November 16, 2011PECOS EnrolledAccepts Medicare Assignment

340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686(570) 558-6838 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Amanda Lyn Fidiam Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA LYN FIDIAM PA-C (NPI 1003193202) is an individual medical provider in Moosic, Pennsylvania, licensed in Pennsylvania (MA055142) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003193202

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. AMANDA LYN FIDIAMCredential: PA-C

Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1782

Mailing Address340 Montage Mountain RdMoosic, PA 18507-1782 · (570) 346-3686 · Fax (570) 558-6838

Phone(570) 346-3686

Fax(570) 558-6838

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 16, 2011

Last NPPES UpdateSeptember 4, 2014

✔ NPI 1003193202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA055142

340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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Other Names 1

Former Name (1)Miss Amanda Lyn Beck Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amanda Lyn Fidiam Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860666492

PECOS Enrollment IDI20111117000128

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

26%23 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JESSICA MCDONOUGH MS, NCC, LPC

Counselor (Professional)