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AMANDA MARIE WIERMANN P.A.
NPI 1023378874
Physician Assistant in Port Jefferson Station, NY

Active since May 25, 2012PECOS Enrolled
PO BOX 263, PORT JEFFERSON STATION, NY 11776(631) 828-5419(631) 403-1298 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, Aug 21, 2023 (2 updates tracked since 2023).

About Amanda Marie Wiermann P.a. NPPES

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

AMANDA MARIE WIERMANN P.A. (NPI 1023378874) is an individual physician assistant in Port Jefferson Station, New York, licensed in New York (006495) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023378874
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA MARIE WIERMANNCredential: P.A.
Location AddressPO BOX 263Port Jefferson Station, NY 11776-0263
Mailing AddressPo Box 263Port Jefferson Station, NY 11776-0263 · (631) 260-1945 · Fax (631) 403-1298
Phone(631) 828-5419
Fax(631) 403-1298
Sole ProprietorNo
Enumeration DateMay 25, 2012
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1023378874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 006495
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 006495 (NY)
PO BOX 263, Port Jefferson Station, NY 11776
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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 (PECOS)

Amanda Marie Wiermann P.a. 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 11776 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Wiermann's NPI number?

The NPI number for Amanda Wiermann is 1023378874. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Where is Amanda Wiermann located?

Amanda Wiermann practices at PO Box 263, Port Jefferson Station, NY 11776. The listed phone number is (631) 828-5419.

What is Amanda Wiermann's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Wiermann enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Wiermann was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.