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MRS. AMANDA A ELFEZZAZI APRN-CNP, AGPCNP
NPI 1144000944
Nurse Practitioner in Checotah, OK

Active since September 29, 2023PECOS Enrolled
416420 ENSIGN LN, CHECOTAH, OK 74426(918) 774-5883 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Amanda A Elfezzazi Aprn-cnp, Agpcnp NPPES

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

MRS. AMANDA A ELFEZZAZI APRN-CNP, AGPCNP (NPI 1144000944) is an individual nurse practitioner in Checotah, Oklahoma, licensed in Oklahoma (215389) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144000944
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. AMANDA A ELFEZZAZICredential: APRN-CNP, AGPCNP
Location Address416420 ENSIGN LNChecotah, OK 74426-2287
Mailing AddressPo Box 1931Sallisaw, OK 74955-1931 · (918) 774-5883
Phone(918) 774-5883
Sole ProprietorYes
Enumeration DateSeptember 29, 2023
Last NPPES UpdateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1144000944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OK · 215389
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
416420 ENSIGN LN, Checotah, OK 74426
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda A Elfezzazi Aprn-cnp, Agpcnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Elfezzazi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pmo Medical PLLC
45 mi
Pain Medicine
701 W QUEENS ST, SUITE 100
Broken Arrow, OK 74012
  • Reassigned Medicare billing, Oklahoma enrollment
  • 16 clinicians in this Medicare group
NPI 1780054627 (918) 519-5717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
457 services178 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
362 services168 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
355 services159 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74426 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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 Elfezzazi's NPI number?

The NPI number for Amanda Elfezzazi is 1144000944. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Amanda Elfezzazi located?

Amanda Elfezzazi practices at 416420 Ensign Ln, Checotah, OK 74426. The listed phone number is (918) 774-5883.

What is Amanda Elfezzazi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Elfezzazi enrolled in Medicare?

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

Which organization bills Medicare for Amanda Elfezzazi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Elfezzazi reassigns Medicare benefits to Pmo Medical PLLC (Broken Arrow, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Elfezzazi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Elfezzazi was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.