AMANDA RAY APRN
NPI 1104398098
Nurse Practitioner - Pediatrics in Pensacola, FL

Q: What is Amanda Ray's NPI number?

The NPI number for Amanda Ray is 1104398098. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Q: What is Amanda Ray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Ray was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 18, 2018PECOS Enrolled

2315 W JACKSON ST, PENSACOLA, FL 32505(850) 436-4630(850) 436-2095 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Amanda Ray Aprn NPPES

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

AMANDA RAY APRN (NPI 1104398098) is an individual pediatrics provider in Pensacola, Florida, licensed in Florida (APRN9214049) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104398098

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameAMANDA RAYCredential: APRN

Location Address2315 W JACKSON STPensacola, FL 32505-7552

Mailing Address2315 W Jackson StPensacola, FL 32505-7552 · (850) 436-4630 · Fax (850) 436-2095

Phone(850) 436-4630

Fax(850) 436-2095

Sole ProprietorNo

Enumeration DateDecember 18, 2018

✔ NPI 1104398098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN9214049

2315 W JACKSON ST, Pensacola, FL 32505

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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 Ray Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32505 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

TELITHA G THOMAS MSW

Social Worker (Clinical)