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AMANDA HERTZLER
NPI 1083291041
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 25, 2021PECOS Enrolled
6655 S CIMARRON RD STE 100, LAS VEGAS, NV 89113(702) 765-4034 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Hertzler NPPES

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

AMANDA HERTZLER (NPI 1083291041) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083291041
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA HERTZLER
Location Address6655 S CIMARRON RD STE 100Las Vegas, NV 89113-2181
Mailing Address6655 S Cimarron Rd Ste 100Las Vegas, NV 89113-2181 · (702) 765-4034
Phone(702) 765-4034
Sole ProprietorNo
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1083291041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6655 S CIMARRON RD STE 100, Las Vegas, NV 89113
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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 Hertzler 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.

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.

DR. SAMUEL EWALEFO MD
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 853-3000
DANIEL LA DO
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 853-3561
JONATHAN GREGORY CHAKRIAN DO
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 765-4034
CHU HYUN KIM
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 765-4034
MUHAMMAD BASSEL DARWISH MBBS
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 765-4034
OMAR HASSANAIN
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 765-4034
PATRICIA CACHILA MD
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (702) 765-4034
YAACOV DAVIDOW DO
Student in an Organized Health Care Education/Training Program
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113
Clark County (403) 470-2765

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 Hertzler's NPI number?

The NPI number for Amanda Hertzler is 1083291041. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Amanda Hertzler located?

Amanda Hertzler practices at 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113. The listed phone number is (702) 765-4034.

What is Amanda Hertzler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Hertzler enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Hertzler was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.