AMANDA SMITH FNP
NPI 1063293710
Nurse Practitioner - Family in Staten Island, NY

Q: What is Amanda Smith's NPI number?

The NPI number for Amanda Smith is 1063293710. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Q: What is Amanda Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Smith was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 09, 2023PECOS EnrolledAccepts Medicare Assignment

1855 RICHMOND AVE, STATEN ISLAND, NY 10314(914) 262-1555 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Amanda Smith Fnp NPPES

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

AMANDA SMITH FNP (NPI 1063293710) is an individual family provider in Staten Island, New York, licensed in New York (F352364) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063293710

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA SMITHCredential: FNP

Location Address1855 RICHMOND AVEStaten Island, NY 10314-3940

Mailing Address88 Chandler AveStaten Island, NY 10314-2925

Phone(914) 262-1555

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 9, 2023

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1063293710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F352364

1855 RICHMOND AVE, Staten Island, NY 10314

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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 and accepts Medicare assignment

Amanda Smith Fnp 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 ID4789023045

PECOS Enrollment IDI20240418003878

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 10314 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

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 9

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

SAAM A MILLER MD

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