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AMANDA SUZANN TIMMONS NP
NPI 1063259067
Nurse Practitioner - Family in Louisville, KY

Active since July 09, 2024PECOS Enrolled
4010 DUPONT CIR STE L28, LOUISVILLE, KY 40207(502) 749-6565 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, Jul 9, 2024 (2 updates tracked since 2024).

About Amanda Suzann Timmons Np NPPES

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

AMANDA SUZANN TIMMONS NP (NPI 1063259067) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4016812) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063259067
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA SUZANN TIMMONSCredential: NP
Location Address4010 DUPONT CIR STE L28Louisville, KY 40207-4825
Mailing Address5303 Glyndon WayLouisville, KY 40272-4367 · (502) 881-7198
Phone(502) 749-6565
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 9, 2024
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1063259067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4016812
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4016812 (KY)
4010 DUPONT CIR STE L28, Louisville, KY 40207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Suzann Timmons Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002390275
PECOS Enrollment IDI20260528003706
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 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 Timmons's NPI number?

The NPI number for Amanda Timmons is 1063259067. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Amanda Timmons located?

Amanda Timmons practices at 4010 Dupont Cir Ste L28, Louisville, KY 40207. The listed phone number is (502) 749-6565.

What is Amanda Timmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Timmons enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Timmons was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.