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AMANDA LOUISE NUSBAUM RN
NPI 1053195339
Nurse Practitioner in Martinsburg, WV

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment
193 RECURVE LN, MARTINSBURG, WV 25403(301) 524-6368 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, Aug 21, 2023 (2 updates tracked since 2023).

About Amanda Louise Nusbaum Rn NPPES

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

AMANDA LOUISE NUSBAUM RN (NPI 1053195339) is an individual nurse practitioner in Martinsburg, West Virginia, licensed in Maryland (AC008421) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hagerstown, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053195339
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA LOUISE NUSBAUMCredential: RN
Location Address193 RECURVE LNMartinsburg, WV 25403-5402
Mailing Address193 Recurve LnMartinsburg, WV 25403-5402 · (301) 524-6368
Phone(301) 524-6368
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 21, 2023
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1053195339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · AC008421
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 103962 (WV)
193 RECURVE LN, Martinsburg, WV 25403
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Secondary Practice Location 1

Location 111110 Medical Campus Rd Ste 126Hagerstown, MD 21742-6799 · Phone (301) 241-7591

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Louise Nusbaum Rn 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 ID1254827645
PECOS Enrollment IDI20260106002247
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 Nusbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centers For Advanced Ent Care, LLC
77 mi
Otolaryngology
6565 N CHARLES ST STE 601
Baltimore, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • 32 clinicians in this Medicare group
NPI 1447781620 (410) 821-5151

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 25403 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 Amanda Nusbaum's NPI number?

The NPI number for Amanda Nusbaum is 1053195339. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Amanda Nusbaum located?

Amanda Nusbaum practices at 193 Recurve Ln, Martinsburg, WV 25403. The listed phone number is (301) 524-6368.

What is Amanda Nusbaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Nusbaum enrolled in Medicare?

Yes. Amanda Nusbaum 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.

Which organization bills Medicare for Amanda Nusbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Nusbaum reassigns Medicare benefits to Centers For Advanced Ent Care, LLC (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Nusbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Nusbaum was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.