AMY MARIE POPPLEWELL NP
NPI 1093418493
Nurse Practitioner - Family in Santa Rosa, CA

Q: What is Amy Popplewell's NPI number?

The NPI number for Amy Popplewell is 1093418493. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Amy Popplewell'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 Amy Popplewell was last updated on January 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2023PECOS EnrolledAccepts Medicare Assignment

1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 396-5151 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2025, Mar 10, 2024, Mar 24, 2023 (3 updates tracked since 2023).

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About Amy Marie Popplewell Np NPPES

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

AMY MARIE POPPLEWELL NP (NPI 1093418493) is an individual family provider in Santa Rosa, California, licensed in California (95029040) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093418493

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY MARIE POPPLEWELLCredential: NP

Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112

Mailing Address1300 N Dutton AveSanta Rosa, CA 95401-7112

Phone(707) 396-5151

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 24, 2023

Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2025

✔ NPI 1093418493 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 CA · 95029040

Also ListedRegistered NurseTaxonomy 163W00000X · License 95272946 (CA)

1300 N DUTTON AVE, Santa Rosa, CA 95401

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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

Amy Marie Popplewell Np 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 ID9739609843

PECOS Enrollment IDI20250219003125

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 95401 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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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.

MRS. ERIN O. LIIV LCSW

Social Worker (Clinical)