AMANDA MITTELSTETTER CRNP
NPI 1063009694
Nurse Practitioner in Catonsville, MD

Q: What is Amanda Mittelstetter's NPI number?

The NPI number for Amanda Mittelstetter is 1063009694. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Q: What is Amanda Mittelstetter's specialty?

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

Active since December 29, 2020PECOS EnrolledAccepts Medicare Assignment

910 FREDERICK RD, CATONSVILLE, MD 21228(410) 644-1880(410) 646-3623 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2025, Dec 29, 2020 (2 updates tracked since 2020).

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About Amanda Mittelstetter Crnp NPPES

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

AMANDA MITTELSTETTER CRNP (NPI 1063009694) is an individual nurse practitioner in Catonsville, Maryland, licensed in Maryland (R218961) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063009694

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMANDA MITTELSTETTERCredential: CRNP

Location Address910 FREDERICK RDCatonsville, MD 21228-4516

Mailing Address910 Frederick RdCatonsville, MD 21228-4516 · (410) 644-1880 · Fax (410) 646-3623

Phone(410) 644-1880

Fax(410) 646-3623

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 29, 2020

Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1063009694 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 · R218961

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 ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License R218961 (MD)

910 FREDERICK RD, Catonsville, MD 21228

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Secondary Practice Location 1

Location 15601 Loch Raven BlvdBaltimore, MD 21239-2945 · Phone (443) 444-4055

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Mittelstetter Crnp 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 ID7113332198

PECOS Enrollment IDI20210225001286

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 21228 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 20

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

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