MS. AMANDA RYDBERG PA
NPI 1134147333
Physician Assistant in Alexandria Bay, NY
About Ms. Amanda Rydberg Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AMANDA RYDBERG PA (NPI 1134147333) is an individual physician assistant in Alexandria Bay, New York, licensed in New York (007079) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with River Hospital Clinics, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Ms. Amanda Rydberg Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
River Hospital Clinics
Critical Access Hospitals · Alexandria Bay, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ALEXANDRIA BAY, NY 13607
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 Rydberg's NPI number?
The NPI number for Amanda Rydberg is 1134147333. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Amanda Rydberg located?
Amanda Rydberg practices at 4 Fuller St, Alexandria Bay, NY 13607. The listed phone number is (315) 482-2511.
What is Amanda Rydberg's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Amanda Rydberg enrolled in Medicare?
Yes. Amanda Rydberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Amanda Rydberg affiliated with any hospitals?
According to CMS data, Amanda Rydberg is affiliated with River Hospital Clinics.
When was this NPI record last updated?
The NPPES record for Amanda Rydberg was last updated on March 18, 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.
# Ms. Amanda Rydberg, PA · NPI 1134147333
Physician Assistant physician in Alexandria Bay, New York. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1134147333 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 007079 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 FULLER ST, Alexandria Bay, NY 13607-1391
- **Phone:** (315) 482-2511 · **Fax:** (315) 482-5553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 18, 2024
- **Other identifiers:** Medicaid 002276337 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1134147333) · Data from the CMS NPPES public registry.