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

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: July 26, 2026.

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

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 and maintains a secondary practice location in Poplar Bluff.

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
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

Other Names 1

Former Name (1)Amanda Renae Jeddeloh

Secondary Practice Location 1

Location 11500 N Westwood BlvdPoplar Bluff, MO 63901-3318 · Phone (573) 686-4151

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.

Optometrist
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Registered Nurse
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Social Worker (Clinical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Dentist
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

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 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.

Where is Amanda Flory located?

Amanda Flory practices at 1500 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4151.

What is Amanda Flory's specialty?

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

Is Amanda Flory enrolled in Medicare?

Yes. Amanda Flory is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Flory was last updated on April 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.