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MISS AMANTHA THEODORE
NPI 1003421066
Nurse Practitioner - Family in Mount Vernon, NY

Active since September 15, 2020PECOS EnrolledAccepts Medicare Assignment
531 E LINCOLN AVE APT 4N, MOUNT VERNON, NY 10552(718) 920-9000 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Amantha Theodore NPPES

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

MISS AMANTHA THEODORE (NPI 1003421066) is an individual family provider in Mount Vernon, New York, licensed in Florida (RN9364653) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003421066
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS AMANTHA THEODORE
Location Address531 E LINCOLN AVE APT 4NMount Vernon, NY 10552-3743
Mailing Address531 E Lincoln Ave Apt 4nMount Vernon, NY 10552-3743
Phone(718) 920-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1003421066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · RN9364653
531 E LINCOLN AVE APT 4N, Mount Vernon, NY 10552
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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

Miss Amantha Theodore 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 ID8527420470
PECOS Enrollment IDI20230809004020
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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,068 services228 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
123 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10552 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Amantha Theodore's NPI number?

The NPI number for Amantha Theodore is 1003421066. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Amantha Theodore located?

Amantha Theodore practices at 531 E Lincoln Ave Apt 4N, Mount Vernon, NY 10552. The listed phone number is (718) 920-9000.

What is Amantha Theodore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amantha Theodore enrolled in Medicare?

Yes. Amantha Theodore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amantha Theodore affiliated with any hospitals?

According to CMS data, Amantha Theodore is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Amantha Theodore was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.