AMANDA RENAE FLORY D.O.
NPI 1013337120
Psychiatry & Neurology - Psychiatry in Poplar Bluff, MO

Q: What is Amanda Flory's NPI number?

The NPI number for Amanda Flory is 1013337120. It was assigned to this individual provider in the NPPES registry on April 16, 2014. The provider is also known as Amanda Renae Jeddeloh.

Q: What is Amanda Flory's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Flory was last updated on April 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 April 16, 2014PECOS Enrolled

1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 686-4151 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Aug 4, 2019, Oct 27, 2018 (3 updates tracked since 2018).

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About Amanda Renae Flory D.o. NPPES

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

AMANDA RENAE FLORY D.O. (NPI 1013337120) is an individual psychiatry provider in Poplar Bluff, Missouri, licensed in Minnesota (61285) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013337120

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameAMANDA RENAE FLORYCredential: D.O.

Location Address1500 N WESTWOOD BLVDPoplar Bluff, MO 63901-3318

Mailing Address1500 N Westwood BlvdPoplar Bluff, MO 63901-3318 · (319) 471-2554

Phone(573) 686-4151

Sole ProprietorNo

Enumeration DateApril 16, 2014

Last NPPES UpdateApril 12, 20233 updates tracked since enumeration

NPPES CertifiedApril 12, 2023

✔ NPI 1013337120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MN · 61285

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901

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Other Names 1

Former Name (1)Amanda Renae Jeddeloh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Renae Flory D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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

$161.24 typical visit price

range $52.28 – $161.24

Typical copayment $40.31 (range $13.07 – $40.31)

Most-billed visit code 99205

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

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 20

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

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