AMANDA DEE BROCK APRN
NPI 1013165786
Nurse Practitioner - Family in Somerset, KY

Q: What is Amanda Brock's NPI number?

The NPI number for Amanda Brock is 1013165786. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Q: What is Amanda Brock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Brock was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 05, 2008PECOS Enrolled

350 LANGDON ST, SOMERSET, KY 42503(606) 678-8155(606) 678-7548 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2023, Apr 17, 2019 (2 updates tracked since 2019).

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About Amanda Dee Brock Aprn NPPES

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

AMANDA DEE BROCK APRN (NPI 1013165786) is an individual family provider in Somerset, Kentucky, licensed in Kentucky (3005621) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013165786

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA DEE BROCKCredential: APRN

Location Address350 LANGDON STSomerset, KY 42503-2786

Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607

Phone(606) 678-8155

Fax(606) 678-7548

Sole ProprietorNo

Enumeration DateSeptember 5, 2008

Last NPPES UpdateMay 12, 20232 updates tracked since enumeration

NPPES CertifiedMay 12, 2023

✔ NPI 1013165786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3005621

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 5621P (KY)

350 LANGDON ST, Somerset, KY 42503

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Other Identifiers 2

Medicaid7100099690KY

Other11988299Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Dee Brock Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Brock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cumberland Family Medical Center Inc

Same address

Federally Qualified Health Center (FQHC)

350 LANGDON ST
Somerset, KY 42503

Reassigned Medicare billing, Kentucky enrollment
276 clinicians in this Medicare group

NPI 1245899012 (606) 678-8155

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 42503 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY SUZANNE KING APRN

Nurse Practitioner (Pediatrics)